Recurrence of meningioma following surgery (Kennerdell Case 65, PPT)

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Identifier Kennerdell_case65_romfs
Title Recurrence of meningioma following surgery (Kennerdell Case 65, PPT)
Creator John S. Kennerdell, MD, Chair, Department of Ophthalmology, Allegheny General Hospital Professor, Ophthalmology, Drexel University
Subject Proptosis; Exophthalmos; Meningioma; Orbital osteotomy; Orbit; Orbital osteotomy; Magnetic Resonance Imaging; Microsurgery
Presenting Symptom 2 mm left proptosis and chronic visual loss of the left eye to the level of 20/400 over a six month period.
History The patient presented with a 2 mm left proptosis and chronic visual loss of the left eye to the level of 20/400 over a six month period.
Clinical The visual field of the right eye was normal. The visual field of the left eye showed extensive inferior and central loss. The lesion having been removed under the operating microscope with sharpened blunt dissection with preservation of the dura of the optic nerve. There is a whitish irregular lesion and the inferior aspect shows the cavity which previously occupied the left optic nerve. The marked recovery of inferior field of vision in the left eye and the visual acuity recovered to 20/30.
Neuroimaging A ring-like lesion behind the left globe surrounding the optic nerve. The absence of the lesion with preservation of the optic nerve in the axial view of the left orbit with the lateral orbitotomy evident. The patient 11 years later with a continuing preservation of vision, but the axial MRI scan shows an unenhanced lesion medial and superior to the left optic nerve. The enlargement of the lesion with recurrent loss of vision in the left eye to 20/40, a slight visual field loss. The enhancing enlargement of the lesion 28 years following the first removal of the lesion with vision loss to the level of 20/60 and an inferior field defect.
Anatomy Orbit
Disease/Diagnosis Meningioma
Treatment Lateral orbitotomy
Contributor Primary Kennerdell, John S.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format application/pdf
Format Creation Scanned at 2700 ppi on Nikon LS2000 and Nikon 8000 film scanners.
Source 35mm Kodachrome slide
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Contributing Institution Allegheny General Hospital. Dept. of Ophthalmology; Drexel University. Dept. of Ophthalmology
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E, SLC, UT 84112-5890
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Metadata Cataloger Ken Rockwell, Associate Librarian, Marriott Library, University of Utah
ARK ark:/87278/s6jw8gkw
Setname ehsl_novel_jsk
Date Created 2007-10-31
Date Modified 2015-09-08
ID 180096
Reference URL https://collections.lib.utah.edu/ark:/87278/s6jw8gkw