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  • Title: Vision salvage after resection of a giant meningioma in a patient with a loss in light perception.
    Author: Sughrue ME, McDermott MW, Parsa AT.
    Journal: J Neurosurg; 2009 Jan; 110(1):109-11. PubMed ID: 18950266.
    Abstract:
    Clinical approaches to the surgical management of optic chiasm compression stress quick action, as several case series have demonstrated minimal vision restoration following aggressive decompression in patients presenting more than 3 days after the onset of blindness. The authors here report the case of a 48-year-old woman who presented with near-complete binocular vision loss but regained visual function following surgical removal of a giant planum-tuberculum meningioma, which was performed 8 days after a documented loss in light perception. The interval between the patient's vision loss and successful vision-restoring decompressive surgery is the longest recorded to date in the literature. This case shows the importance of aggressive decompression of mass lesions despite extended intervals of optic nerve dysfunction.
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