第38回日本小児神経外科学会
The 38th Annual Meeting of the Japanese Society for Pediatric Neurosurgery

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第1日目、6月4日(金)A 会場(3階 メインホール)9:40〜10:40

特別企画 1: JSPN - KSPN joint session: 3. Case discussion

Chairperson: Kyu-Chang Wang, Takayuki Inagaki

SP1-3-1

Right visual disturbance in a boy with fibrous dysplasia

Hyung Jin Shin, MD

Samsung Medical Center, Sungkyunkwan University School of Medicine

A thirteen-year-old boy who presented with progressive, right-sided visual loss of 2 months duration was referred. A CT scan revealed diffuse, well-defined, ground-glass changes within the right sphenoid sinus, compatible with fibrous dysplasia. The right optic canal was obliterated by the abnormal, bony lesion, leading to optic nerve compression. Ophthalmologic examinations showed right temporal hemianopsia and decreased visual acuity. Serum blood tests, including basal hormone tests and IGF-1, showed no evidence to confirm the diagnosis of McCune-Albright syndrome. Before making a decision on the optimal surgical approach, two methods, including transcranial lateral and endoscopic endonasal approaches, were considered.

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