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European Journal of Applied Sciences – Vol. 12, No. 6
Publication Date: December 25, 2024
DOI:10.14738/aivp.126.17936.
Dembele, F., Traore, O. Y., Sidibe, M. K., Kone, A. D., Traore, K., Sissoko, M., Diarra, M., Sanogo, S., Kouyate, K., Traore, Y. M.,
Kamissoko, D., & Tepage, Y. J. (2024). Compressive Olfactory Meningiomas About a Case at the CMCAB Ophthalmology Unit.
European Journal of Applied Sciences, Vol - 12(6). 750-752.
Services for Science and Education – United Kingdom
Compressive Olfactory Meningiomas About a Case at the CMCAB
Ophthalmology Unit
Dembele, F.
CHU IOTA Bamako
Traore, O. Y.
CHU IOTA Bamako
Sidibe, M. K.
CHU IOTA Bamako
Kone, A. D.
CHU IOTA Bamako
Traore, K.
CHU IOTA Bamako
Sissoko, M.
CHU IOTA Bamako
Diarra, M.
CHU IOTA Bamako
Sanogo, S.
CHU IOTA Bamako
Kouyate, K.
CHU IOTA Bamako
Traore, Y. M.
CHU IOTA Bamako
Kamissoko, D.
CHU IOTA Bamako
Tepage, Y. J.
CHU IOTA Bamako
INTRODUCTION
Compressive olfactory meningiomas are benign intracerebral tumors developed from
arachnoid meningothelial cells. According to the literature, compressive olfactory
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751
Dembele, F., Traore, O. Y., Sidibe, M. K., Kone, A. D., Traore, K., Sissoko, M., Diarra, M., Sanogo, S., Kouyate, K., Traore, Y. M., Kamissoko, D., &
Tepage, Y. J. (2024). Compressive Olfactory Meningiomas About a Case at the CMCAB Ophthalmology Unit. European Journal of Applied Sciences,
Vol - 12(6). 750-752.
URL: http://dx.doi.org/10.14738/aivp.126.17936
meningiomas represent 13 to 33% of primary intracerebral tumors and approximately 40% of
all intracranial lesions.
OBSERVATION
This was a 46-year-old patient, seen for bilateral BAV, chronic headaches lasting 2 years. With
personal history: hypertension; right lumbosciatic joint on disc compression. The
ophthalmological examination revealed visual acuity without correction: OD CLD 5m and OG
5/10. Anterior segment examination was normal with normal IOP in both eyes. In the posterior
segment we found a papillary excavation; bilateral peripapillary atrophy and arterial
narrowing.
Additional examinations were carried out:
• OCT revealed bitemporal hemianopia
• CT revealed a large compressive olfactory meningioma
DISCUSSION
In our observation, it was a 46-year-old man, military.
Literature (J.L. SAURTREAUX et all): High frequency in women; 76% of meningiomas occur
after the age of 50. The majority of meningiomas are benign. In our study, the BAV was right
unilateral.
In his series, Mr. BOUYON does not find any sign at the beginning.
Before making the surgical indication, it is necessary to take into account:
• visual acuity,
• the low scalability of the meningioma.
In our study, postoperatively the patient regained visual acuity without correction OD 4/10 and
OG 5/10.
According to DUTTON JJ: 94% of patients who underwent surgery for optic nerve meningiomas
had BAV.
CONCLUSION
Compressive olfactory meningiomas cause irreversible blindness if not treated in time. Close
collaboration between the ophthalmologist and the neurosurgeon before the intervention.
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Services for Science and Education – United Kingdom 752
European Journal of Applied Sciences (EJAS) Vol. 12, Issue 6, December-2024
OCT revealed bitemporal hemianopia. CT revealed a large compressive
olfactory meningioma.