Langerhans cell histiocytosis causing acute optic neuropathy

详细信息    查看全文

• 作者：Jin Woo Bae (1)
  Yong Hwy Kim (1)
  Seung-Ki Kim (1)
  Kyu-Chang Wang (1)
  Hee-Young Shin (2)
  Hyoung Jin Kang (2)
  Sung-Hye Park (3)
  Ji Hoon Phi (1)
  
  1. Division of Pediatric Neurosurgery ; Seoul National University Children鈥檚 Hospital ; Seoul National University College of Medicine ; 101 Daehak-ro ; Jongno-gu ; 110-744 ; Seoul ; Republic of Korea
  2. Department of Pediatrics ; Seoul National University Children鈥檚 Hospital ; Seoul National University College of Medicine ; 101 Daehak-ro ; Jongno-gu ; 110-744 ; Seoul ; Republic of Korea
  3. Department of Pathology ; Seoul National University Children鈥檚 Hospital ; Seoul National University College of Medicine ; 101 Daehak-ro ; Jongno-gu ; 110-744 ; Seoul ; Republic of Korea
  
• 关键词：Langerhans cell histiocytosis ; Skull base ; Acute optic neuropathy ; Decompression ; Endoscopic endonasal approach
• 刊名：Child's Nervous System
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：31
• 期：4
• 页码：615-619
• 全文大小：1,195 KB
• 参考文献：1. Amit, M, Fliss, DM, Gil, Z (2011) Fibrous dysplasia of the sphenoid and skull base. Otolaryngol Clin N Am 44: pp. 891-902 CrossRef
  2. Badalian-Very, G, Vergilio, JA, Degar, BA, MacConaill, LE, Brandner, B, Calicchio, ML, Kuo, FC, Ligon, AH, Stevenson, KE, Kehoe, SM, Garraway, LA, Hahn, WC, Meyerson, M, Fleming, MD, Rollins, BJ (2010) Recurrent BRAF mutations in Langerhans cell histiocytosis. Blood 116: pp. 1919-1923 CrossRef
  3. Balcer, LJ (2006) Optic neuritis. N Engl J Med 354: pp. 1273-1280 CrossRef
  4. Belen, D, Colak, A, Ozcan, OE (1996) CNS involvement of Langerhans cell histiocytosis: report of 23 surgically treated cases. Neurosurg Rev 19: pp. 247-252 CrossRef
  5. Gangwani V, Walker M, El-Defrawy H, Nicoll JA, Reck A, Pathmanathan T (2007) Langerhans cell histiocytosis of the optic chiasm. Clin Experiment Ophthalmol 35(1):66鈥?8
  6. Guy, WM, Soparkar, CN, Alford, EL, Patrinely, JR, Sami, MS, Parke, RB (2014) Traumatic optic neuropathy and second optic nerve injuries. JAMA Ophthalmol 132: pp. 567-571 CrossRef
  7. Hervey-Jumper, SL, Ghori, A, Ziewacz, JE, Mckeever, PE, Chandler, WF (2011) Langerhans cell histiocytosis of the optic chiasm: case report. Neurosurgery 68: pp. 556-561 CrossRef
  8. Komotar RJ, Starke RM, Raper DM, Anand VK, Schwartz TH (2012) Endoscopic skull base surgery: a comprehensive comparison with open transcranial approaches. Bj J Neurosurg 26(5):637鈥?48
  9. Kong DS, Shin HJ, Kim HY, Chung SK, Nam DH, Lee JI, Park K, Kim JH (2011) Endoscopic optic nerve decompression for compressive optic neuropathy. J Clin Neurosci 18(11):1541鈥?545
  10. Lee JW, Shin HY, Kang HJ, Kim H, Park JD, Park KD, Kim HS, Park SH, Wang KC, Ahn HS (2014) Clinical characteristics and treatment outcome of Langerhans cell histiocytosis: 22 years鈥?experience of 154 patients at a single center. Pediatr Hematol Oncol 31(3):293鈥?02
  11. Li, KK, Lucarelli, MJ, Bilyk, JR, Joseph, MP (1997) Optic nerve decompression for compressive neuropathy secondary to neoplasia. Arch Otolaryngol Head Neck Surg 123: pp. 425-429 CrossRef
  12. Prayer, D, Grois, N, Prosch, H, Gadner, H, Barkovich, AJ (2004) MR imaging presentation of intracranial disease associated with Langerhans cell histiocytosis. AJNR Am J Neuroradiol 25: pp. 880-891
  13. Ropposch, T, Stegar, B, Meco, C, Emerz, M, Reitsamer, H, Rasp, G, Moser, G (2013) The effect of steroids in combination with optic nerve decompression surgery in traumatic optic neuropathy. Laryngosope 123: pp. 1082-1086 CrossRef
  14. Shields, CL, Shields, JA, Honavar, SG, Demirci, H (2001) Primary ophthalmic rhabdomyosarcoma in 33 patients. Trans Am Ophthalmol Soc 99: pp. 133-143
  15. Stromberg, JS, Wang, AM, Huang, TE, Vicini, FA, Nowak, PA (1995) Langerhans cell histiocytosis involving the sphenoid sinus and superior orbital fissure. AJNR Am J Neuroradiol 16: pp. 964-967
  16. Yano, S, Hide, T, Shinojima, N, Hasegawa, Y, Kawano, T, Kuratsu, J (2014) Ensodscopic endonasal approach for parasellar lesions: Initial experences, results, efficacy, and complications. Surg Neurol Int 5: pp. 51 CrossRef
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurosurgery
  Neurosciences
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0350

文摘

Purpose Langerhans cell histiocytosis (LCH) arising from the skull base is a rare acute optic neuropathy cause. We describe a clinical approach for the purpose of optic nerve decompression and simultaneous lesion excision. This is the first case of visual improvement following decompression operation via endoscopic endonasal approach for acute optic neuropathy that is produced by LCH. Methods An 11-year-old boy presented with a 2-week history of visual deterioration. Radiological evidence of compressive optic neuropathy by an expansile soft tissue mass around the optic canal was observed. The patient underwent an endoscopic endonasal optic nerve decompression and subtotal tumor removal. Results His visual impairment improved dramatically after the operation. Conclusions Acute optic neuropathy can be elicited by LCH arising in the sphenoid-ethmoid bone. Early decompression is the key to vision salvage. An endoscopic endonasal approach may be a good therapeutic option in this situation.