Journal of AAPOS
Volume 13, Issue 1 , Pages 88-90, February 2009

Optic nerve sheath fenestration for an isolated optic nerve glioma

  • Deborah K. VanderVeen, MD

      Affiliations

    • Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts
    • ,
  • Bharti R. Nihalani, MD

      Affiliations

    • Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts
    • Corresponding Author InformationReprint requests: Bharti R. Nihalani, MD, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115
    • ,
  • Philip Barron, DC

      Affiliations

    • Barron Chiropractic and Rehabilitation P.C., Mattapan, Massachusetts
    • ,
  • Richard L. Anderson, MD

      Affiliations

    • Center for Facial Appearances, Salt Lake City, Utah

Received 14 January 2008; accepted 2 July 2008. published online 20 October 2008.

The treatment modalities for neurofibromatosis type 1-associated optic gliomas include chemotherapy, radiation therapy, and surgical excision. The current recommendation is to consider treatment for an optic nerve glioma only if there is clear evidence of either ophthalmologic or radiographic progression with significant visual dysfunction. We report a case of a child with neurofibromatosis type 1 and an isolated optic nerve glioma with documented progression and visual loss in which clinical signs improved and visual deterioration stabilized after optic nerve sheath fenestration.

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PII: S1091-8531(08)00290-5

doi:10.1016/j.jaapos.2008.07.009

Journal of AAPOS
Volume 13, Issue 1 , Pages 88-90, February 2009

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