Spheno-orbital meningioma with optociliary veins

Am J Ophthalmol. 1976 May;81(5):666-70. doi: 10.1016/0002-9394(76)90135-5.


A 40-year-old white woman had slowly progressive unilateral loss of visual acuity and increasing proptosis during an eight-year period. Ophthalmoscopy and fluorescein angiography revealed chronic disk edema and optociliary shunt vessels in the right eye. Polytomography showed an enlarged right optic canal. Cerebral arteriography demonstrated a dumbbell-shaped tumor blush in the right juxtasellar region and a diffuse tumor blush in the right orbit. Right frontal craniotomy and orbital exploration showed a cranio-orbital junction (spheno-orbital) meningioma that invaded the sclera and peripapillary choroid. Anomalous optociliary veins were demonstrated histologically at the optic disk.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chorion / pathology
  • Craniotomy
  • Eye / blood supply
  • Female
  • Fluorescein Angiography
  • Humans
  • Meningioma / blood supply
  • Meningioma / diagnostic imaging*
  • Meningioma / pathology
  • Optic Nerve / pathology
  • Orbit / blood supply
  • Orbit / pathology
  • Orbital Neoplasms / blood supply
  • Orbital Neoplasms / diagnostic imaging*
  • Orbital Neoplasms / pathology
  • Radiography
  • Retinal Detachment / pathology
  • Vision Disorders / diagnostic imaging