[Skip to Content]
[Skip to Content Landing]
Article
September 1983

Chiasmatic and Hypothalamic Extension of Optic Nerve Glioma

Author Affiliations

From the Neuro-ophthalmology Unit, The Wilmer Ophthalmological Institute, The Johns Hopkins Hospital, Baltimore.

Arch Ophthalmol. 1983;101(9):1412-1415. doi:10.1001/archopht.1983.01040020414016
Abstract

• An 11-year-old boy was found to have a left optic nerve glioma confined to the orbit and optic canal by clinical examination and computed tomographic (CT) scanning. Repeated neuroradiologic examinations demonstrated intracranial extension of tumor to involve the hypothalamus and third ventricle. Following craniotomy and verification of the diagnosis of glioma by biopsy, the patient underwent a course of radiotherapy that resulted in marked tumor regression. The potential for growth of optic nerve gliomas mandates careful neuroradiologic follow-up regardless of whether there is ophthalmologic deterioration. The natural history of "optic gliomas" remains unknown.

References
1.
Anderson DR, Spencer WH:  Ultrastructural and histochemical observations of optic nerve gliomas . Arch Ophthalmol 1970;83:324-335.Article
2.
Hoyt WF, Baghdassarian SA:  Optic glioma of childhood . Br J Ophthalmol 1969;53:793-798.Article
3.
Glaser JS, Hoyt WF, Corbett J:  Visual morbidity with chiasmal glioma . Arch Ophthalmol 1971;85:3-12.Article
4.
Aarabi B, Long DM, Miller NR:  Enlarging optic chiasmal glioma with stable visual acuity . Surg Neurol 1978;10:175-177.
5.
Bane WM, Long JC:  Glioma of the optic nerve . Trans Am Ophthalmol Soc 1970;61:325-330.
6.
Richards RD, Lynn JR:  The surgical management of gliomas of the optic nerve . Am J Ophthalmol 1966;62:60-65.
7.
Miller NR, Iliff WJ, Green WR:  Evaluation and management of gliomas of the anterior visual pathways . Brain 1974;97:743-754.Article
8.
Heiskanen O, Raitta C, Torsti R:  The management and prognosis of gliomas of the optic pathways in children . Acta Neurochir 1978; 43:193-199.Article
9.
Oxenhandler DC, Sayers MP:  The dilemma of childhood optic gliomas . J Neurosurg 1978; 48:34-41.Article
×