뇌하수체선종으로 인한 단안 무광각 환자에서 수술 후 정상시력 회복을 보인 1예 = A Case of Complete Visual Recovery From No Light Perception After Resection of Pituitary Adenoma

국문 초록 (Abstract)

목적: 뇌하수체선종으로 인한 단안 무광각 환자에서 수술 후 정상 시력 회복을 보인 1예를 경험하였기에 보고하고자 한다.
증례요약: 내원 1년 전 뇌하수체선종 수술의 과거력이 있는 53세 남자 환자가 7주 전 시작된 좌안 시력저하를 주소로 내원하였다.
내원 시 최대교정시력은 우안 1.2, 좌안 무광각이었고 좌안의 대광반사가 소실되어 있었다. 시유발전위검사상 좌안에 일관된 파가 관찰
되지 않았고 뇌자기공명영상검사(MRI)상 3×3.5 cm 크기의 뇌하수체선종이 확인 되었다. 신경외과에서 경접형동 접근법으로 뇌하수
체선종 제거술 및 감마나이프 수술을 시행하였고 수술 후 6주째 좌안 최대교정시력 1.0으로 회복되었다.
결론: 뇌하수체선종으로 인한 압박 시신경 병증에 의해 시력이 무광각 상태에 이르더라도 시력회복의 가능성을 염두에 두고 적극적으로
치료에 임해야 하겠다.

다국어 초록 (Multilingual Abstract)

Purpose: We report a case of a patient with no preoperative light perception who achieved complete visual recovery after
transsphenoidal resection of a pituitary adenoma.
Case summary: A 53-year-old man with a history of pituitary adenomectomy visited our clinic complaining of decreased vision
of 7 weeks ducation. His best-corrected visual acuity was 1.2 in his right eye, and he had no light perception (NLP) in his left
eye. Light reflex was absent in the left eye, and no consistent wave was detected in the left eye on flash visual evoked potential
(FVEP). A pituitary adenoma 3×3.5 cm in diameter was found following magnetic resonance imaging (MRI), and was removed
using a transsphenoidal approach and gamma knife radiosurgery. Six weeks postoperatively, his best corrected visual acuity
improved to 1.0 in the left eye.
Conclusions: Prompt management should be initiated in patients with no light perception vision, due to compressive optic
neuropathy.

참고문헌 (Reference)

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