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Neurosurgical Significance

HUNTER L. LITTLE, MD; JOHN W. CHAMBERS, MD; FRANK B. WALSH, MD

Arch Ophthalmol. 1965;73(3):331-337.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Delay in diagnosis of unilateral optic nerve lesions requiring neurosurgical management is the rule and not the exception. When there is absence of ophthalmoplegia and proptosis, the diagnosis is most difficult. We have reviewed much of our experience and have studied as a group those cases which conform to the following criteria: (1) the loss of vision and of field was unilateral; (2) proptosis and ophthalmoplegia were absent; (3) trauma as an etiologic factor was excluded; (4) the cause of the optic nerve involvement was established by transcranial operation. The Table contains a summary of our cases.

Etiology

The 18 patients exemplifying unilateral loss of vision and of field without proptosis or ophthalmoplegia included five pituitary tumors (one had unilateral loss of vision attributed to a glioma of the optic nerve); six meningiomas (four arose from the tuberculum sella, one from the olfactory groove, and one from the cranial entrance . . . [Full Text PDF of this Article]

Author Affiliations
Baltimore

Footnotes
Submitted for publication Aug 16, 1963.

Reprint requests to United States Naval Hospital, San Diego, Calif 92134 (Lt Little, MC USNR).

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