지주막낭종으로 인한 압박성 시신경 병증 1예 = A Case of Suprasellar Arachnoid Cyst with Compressive Optic Neuropathy

다국어 초록 (Multilingual Abstract)

Purpose: To report a case of suprasellar arachnoid cyst with compressive optic neuropathy. Case summary: A 50-year-old man presented with decreased visual acuity in the right eye of 6 months duration. Best corrected visual acuity was 0.2 in the right eye, 1.0 in the left eye, and the intraocular pressure was 13 mm Hg in the right eye, and 18 mm Hg in the left eye. Fundus examination showed pale optic disc in the right eye and retinal nerve fiber layer defects in both eyes. Visual field examination revealed a central visual field of 10° in the right eye and an inferior visual field defect in the left eye. The brain magnetic resonance image (MRI) showed a suprasellar arachnoid cyst that compressing the optic nerve and chiasm. Conclusions: The author experienced arachnoid cyst accompanied by optic disc atrophy and visual field defect in a patient diagnosed and treated for glaucoma. In cases of non-specific clinical features that differ from typical glaucomatous presentations, the utilization of brain MRI appears to be helpful in diagnosis and treatment. J Korean Ophthalmol Soc 2012;53(10):1532-1539

참고문헌 (Reference)

1 변석호, "정상 직경 내경동맥에 의한 시신경 압박으로 발생한 시야장애 1예" 대한안과학회 45 (45): 27-27, 2004

2 정재욱, "유방암 전이에 의한 압박 시신경병증 1예" 대한안과학회 51 (51): 1161-1165, 2010

3 장준규, "비문증을 주소로 내원한 환자에서 발견된 지주막낭종 1예" 대한안과학회 50 (50): 481-485, 2009

4 Iwase A, "The prevalence of primary open-angle glaucoma in Japanese: the Tajimi Study" 111 : 1641-1648, 2004

5 Greenfield DS, "The cupped Disc. Who needs neuroimaging?" 105 : 1866-1874, 1998

6 Beier AD, "Suprasellar arachnoid cyst resulting in the syndrome of inappropriate antidiuretic hormone secretion" 6 : 486-488, 2010

7 Thompson TP, "Successful management of sellar and suprasellar arachnoid cysts with stereotatic intracavitary irradiation: an expanded report of four cases" 46 : 1518-1522, 2000

8 Stamper RL, "Primary open angle glaucoma, In Becker-Shaffer’s Diagnosis and Therapy of the Glaucoma, 8th ed" Mosby Elsevier 2009

9 Kim CS, "Prevalence of Primary Open-Angle Glaucoma in Central South Korea The Namil Study" ELSEVIER SCIENCE INC 118 (118): 1024-1030, 2011

10 Rubin RM, "Optic chiasm, parasellar region, and pituitary fossa, In Yanooff and Ducker Ophthalmology, 3rd ed" Elsevier 2009

11 Heijl A, "Natural history of open-angle glaucoma" 116 : 2271-2276, 2009

12 Sadun AA, "Leber’s hereditary optic neuropathy differentially affects smaller axons in the optic nerve" 98 : 223-232, 2000

13 Cincu R, "Intracranial arachnoid cysts: Current concepts and treatment alternatives" 109 : 837-843, 2007

14 Cheng CH, "Intracavernous sinus arachnoid cyst with optic neuropathy" 17 : 267-269, 2010

15 Danesh-Meyer HV, "In vivo retinal nerve fiber layer thickness measured by optical coherence tomography predicts visual recovery after surgery for parachiasmal tumors" 49 : 1879-1885, 2008

16 Yadav YR, "Endoscopic treatment of the suprasellar arachnoid cyst" 58 : 280-283, 2010

17 Choi JU, "Endoscopic approach to arachnoid cyst" 15 : 285-291, 1999

18 Allingham RR, "Chronic open-angle glaucoma and normal-tension glaucoma, In Shields Textbook of Glaucoma, 6th ed" Lippincott Williams & Wilkins 2011

19 Kaisho Y, "A case of suprasellar arachnoid cyst followed up for a long time" 99 : 109-114, 1995

20 Fujiwara M, "A case of intrasellar arachnoid cyst" 12 : 331-337, 1984

21 Kim I, "A case of compressive optic neuropathy caused by sphenoid sinus mucocele" 30 : 1025-1029, 1989