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眼眶神经鞘瘤起源于周边神经的鞘膜细胞,多发生于30～50岁。其视力损害与发病时间、眼球突出程度成正比。视力始终正常者罕见。本文报告1例视力正常的眼眶多发性神经鞘瘤。患者女性,31岁,住院号17,817。于1979年4月29日入院。入院前2年,患者右眼球开始向前突出,渐重,近数月感右侧轻微头痛。检查:右眼球向前、外、下方向突出,各方向运动轻度受限,无复视,远视力1.5,眼底正常,眼眶内上方向后、距眶缘约1厘米处,扪及骨性隆起,两侧中下甲无肿大,鼻道清洁,通气良好。X线摄片:两侧副鼻窦及眼眶无异常。入院诊断、眶内肿瘤,额筛窦肿瘤?
Orbital schwannoma originated in the peripheral nerve sheath cells, occurred in 30 to 50 years old. The visual impairment and onset time, proportional to the degree of eyeballs prominent. Visual acuity is always normal. This article reports a case of normal orbital multiple schwannoma. Patient female, 31 years old, hospital number 17,817. On April 29, 1979 admission. 2 years before admission, the patient’s right eye began to protrude forward, gradually heavier, mild pain in the right side of the last few months. Check: the right eye forward, outside, under the direction of prominent, moderately limited movement in all directions, without diplopia, far vision 1.5, fundus normal, orbital upward direction, about 1 cm from the orbital rim, palpable bony Uplift, no swelling on both sides of the nail, nasal clean, well ventilated. X-ray: both sides of the paranasal sinus and orbital no abnormalities. Admission diagnosis, orbital tumor, frontal ethmoid sinus tumor?