[Neuro-ophthalmological examinations in craniopharyngiomas in childhood].
Palabras clave
Abstracto
The results of ophthalmologic examinations of 50 children with craniopharyngiomas are analyzed. The condition was diagnosed on the basis of clinical examinations, roentgenography, angiography, brain scintigraphy, and computer-aided tomography. In 48 cases the diagnosis was confirmed by histologic findings. The mean age of the patients was 9 years 6 months, both boys and girls were included in the study group. Vision acuity deterioration was detected in 69.6% of children, optic disk edema in 22% and atrophic changes of the disk in 52% of the examinees. Vision field defects were revealed in 67.7%, nystagmus in 4 cases, oculomotor nerve paresis in 6 cases. The authors emphasize timely employment of conventional and present-day x-ray examinations, that are highly informative in such conditions, in all the patients with vision disorders of unknown origin and with suspected compression of the visual routes.