The ophthalmologic signs in cerebellum tumor. Preliminary report

Lidia Puchalska‑Niedbał, Urszula Kulik, Dariusz Jeżewski, Paweł Kawalec, Wojciech Lubiński, Ireneusz Kojder

Abstract


Introduction: The aim of the study was an analysis of ophthalmic symptoms coexisting with the tumour of the cerebellum.

Material and methods: The study included 14 patients in the age between 21–55 years old with the tumor of cerebellum, who were operated in the Neurosurgery Clinic of the Pomeranian Medical University in Szczecin. The comprehensive ophthalmic examination were performed before and after 5 days from surgery. The examinations included evaluation of: pupillary reactions, visual acuity, fundus ophthalmoscopy, intraocular pressures, eye motility, visual field, optometrical tests and visual manual localization test.

Results: The symptoms found before surgery of cerebellum tumors: diplopia (3 persons), early papilloedema (4 persons), nystagmus (2 persons), lack (5 persons) and weakened of convergence reflex (3 persons), latent strabismus (5 persons), manifest strabismus (3 persons). On the 5th day after the surgery were found: nystagmus (1 person), lack (5 persons) and weakened of the convergence reflex (3 persons). Visual manual localization was disparate depending on location of the tumor in the cerebellum; prevailed crossed and uncrossed localizations.

Conclusions: 1. The natural dynamic of the tumor and surgical damage to the posterior cranial cavity structures can be monitored by assessment of the condition of the organ sight. 2. It is recommended to make the visual manual localization tests such as exponent disorders of senso­‍-motorical deviations, which may occur in the patients with the cerebellum tumor.

Keywords


tumor of cerebellum; diplopia; strabismus; visual manual localization

Full Text:

PDF (Język Polski)

References


Puchalska‑Niedbał L.: Akomodacja – obecny stan wiedzy. Okulistyka. 2013, 16 (1), 25–27.

Jadanowski K., Budrewicz S., Koziorowska‑Gawron E.: Zaburzenia gałkoruchowe w chorobach ośrodkowego układu nerwowego. Pol Przegl Neurol. 2010, 6 (4), 202–211.

Sander T., Sprenger A., Neumann G., Machner B., Gottschalk S., Rambold H. et al.: Vergence deficits in patients with cerebellar Lesions. Brain. 2009, 132, 103–115.

Baranowska‑George T.: Lokalizacja wzrokowa jako wyraz funkcji układu nerwowego wzrokowego ośrodka. Klin Oczna. 1980, 82, 265–268.

Baranowska‑George T., Kojder I., Kowerska D., Kopacka W.: Dominacja półkuli mózgu a wzrokowa lokalizacja przestrzenna ręczna. Klin Oczna. 1990, 92, 134–136.

Baranowska‑George T., Kojder I.: Wzrokowa lokalizacja przestrzenna po przebytych samoistnych krwiakach śródmózgowia. Klin Oczna. 1987, 89, 46–49.

Schmahmann J.D., Weilburg J.B., Sherman J.C.: The neuropsychiatry of the cerebellum – insights from the clinic. Cerebellum. 2007, 6 (3), 254–267.




DOI: https://doi.org/10.21164/pomjlifesci.422

Copyright (c) 2018 Lidia Puchalska‑Niedbał, Urszula Kulik, Dariusz Jeżewski, Paweł Kawalec, Wojciech Lubiński, Ireneusz Kojder

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/