CAUSAS DE EXOFTALMOS UNILATERAL PDF

A oftalmopatia tireoidea é a causa mais comum de doença orbitária na população adulta, e responsável por 15% a 28% dos casos de exoftalmia unilateral e. el principal síntoma fue exoftalmos y en 35 pacientes ceguera unilateral. causa más frecuente de anomalías congénitas, luego de las cardiopatías. del ala mayor del esfenoides, una causa excepcional de exoftalmos pulsátil. Unilateral exophthalmos revealing agenesia of the greater wing of the.

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Caeiro I ; C. Conde II ; M. Canteli I ; A. Alonso I ; D.

Medal IV ; M. Salgado IV ; J. Brasa III ; J. Otero II ; V. Primary optic nerve sheat meningioma ONSM is a rare tumor, whose diagnosis exoftalnos therapeutic management have varied in a substantial manner over the last few years. The appearance and development of diagnostic imaging techniques such as High Resolution Computerized Tomography and Nuclear Magnetic Resonance have allowed earlier and more precise diagnoses.

Exophthalmos

The introduction of conventional radiation therapy in the late s, alone or in combination with surgery, and above all unilteral introduction of Fractionated Stereotactic Radiotherapy and Three-Dimensional Conformal Intensity-Modulated Radiotherapy 3DCRT have provided very efficient alternative therapies with a relatively low toxicity.

In this article we first review the embryological exftalmos, anatomy, natural history, and surgical treatment, and then describe the role of radiotherapy RT in the considered entity, indicating how it can be integrated in the pattern of present day care. We analyse the different radiotherapy techniques, from the most elementary, such as conventional RT, followed by 3DCRT up to the most sophisticated such as Stereotactic Fractionated Radiotherapy, all based on our experience in one case. En el momento del diagnostico estaba en tratamiento con exogtalmos de calcio y calcitonina por osteoporosis.

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Se realizaron las siguientes exploraciones complementarias. Cuando invade el globo ocular puede producir un desprendimiento de retina.

En casos muy avanzados pueden afectar a estructuras vitales y producir muerte del paciente 3. En ocasiones podemos ver calcificaciones del nervio o hiperostosis en los huesos vecinos El papel de la Radioterapia. Otro hecho destacable es la ausencia, de complicaciones derivadas del tratamiento caausas todo el periodo de seguimiento.

Uno de los pacientes permanece estable, sin evidencia de deterioro visual o enfermedad progresiva. En ella se trataron 39 pacientes 15 primarios y 24 secundarios.

La dosis total administrada fue de 54 Gy en 30 fracciones. La mediana de dosis total fue de 51 Gy. Esto es especialmente evidente cuando administramos dosis totales por debajo de los 54 Gy, con un fraccionamiento convencional que no supere los incrementos de causaa diarios de 2 Gy Patrick A Sibony, Howard T.

Optic Nerve Sheath Meningiomas. Publicaciones Nexus Ediciones, S.

Primary optic nerve sheath meningiomas, Report of nine cases. Primary optic sheath meningioma. British Journal of Ophtalmology,73, The mamagement of optic nerve meningiomas and gliomas. The Management of Nerve Sheath Meningiomas. Journal of Neuro-Ophtalmology 16 4: Optic Nerve Sheath Meningiomas: Visual Improvement after Stereotactic Radiotherapy. Stereo-tactic Fractionated Radiotherapy in patients with optic nerve sheath meningioma.

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Fractionated External Beam Radiation Therapy for meningiomas of the cavernosus sinus. J Radiation Oncology Biol Phys44 1 Tolerance of cranial nerves of the cavernous sinus to radio-surgery. Analisys of Time-Dose Factors.

Thyroid ophthalmopathy revisited

Meningiomas del Nervio Optico. Early improvements in vision after fractionated stereotactic radiotherapy for primary optic nerve sheath meningioma. Melian E, Jay WM.

Primary radiotherapy for optic nerve sheath meningioma. Seminars in Ophthalmology19, pp. Optic nerve sheath meningiomas and advanced treatment options. Curr Opin Ophthalmol Visual changes alter Gamma Knife Surgery for optic nerve tumors. J Neurosurg Suppl Pedro Rico, 27, Madrid, Tlf.: