Spontaneous Regression Of Optic Glioma In A Patient With Neurofibromatosis
Brzowski, A. E., Bazan, C., 3rd, Mumma, J. V., & Ryan, S. G. (1992). spontaneous regression of optic glioma in a patient with neurofibromatosis. Neurology, 42(3 patient 1), 679–681. https://doi.org/10.1212/wnl.42.3.679
View Original Source →Abstract
We describe a young girl with neurofibromatosis and enlargement of the optic chiasm and intracranial left optic nerve. Serial MRIs over 32 months demonstrated spontaneous, marked reduction in the size of these lesions. Spontaneous regression must be considered in evaluating therapies for optic glioma.
Case Details
Disease Location
Optic glioma
Personal Characteristics
6-week-old girl. Family history in father and paternal grandfather of nf-1
Clinical Characteristics
6-week-old girl with macrocrania and intermittent esotropia with alternate fixation. At 11 months, found to have hyperpigmented nodules. 18 months: cycloplegic refraction. 22 months: underwent bilateral medial rectus recession. MRI at 23 months age: markedly enlarged optic chiasm and left optic n. 12 months later: marked reduction in size of optic chiasm and left optic n. MRI 32 months after initial study: stability of optic n and chiasm lesion.
Remission Characteristics
12 months after 1st mri: marked reduction in size of optic chiasm and left optic n. MRI 32 months after initial study: stability of optic n and chiasm lesion.
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed