Abstract
Case reports
The authors report their experience about three children (two girls, one boy; average age 1.6 years) with a spontaneous regression of optic gliomas. All of them had a previous diagnosis of neurofibromatosis type 1 (NF 1). None of them underwent surgery or biopsy nor received chemotherapy or radiotherapy. The complete regression was documented by MRI scans performed during a mean follow-up of 6.3 years.
Literature review
Moreover, the authors analyze the features of the 16 cases previously reported in English literature of spontaneously regressed optic gliomas with an overview of the different therapeutic strategies. The knowledge that this kind of tumor, particularly in young patients, may regress is important in the decision of the best therapeutic approach.
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References
Martin P, Cushing H (1923) Primary gliomas of the chiasm and optic nerves in their intracranial portion. Arch Ophthalmol 52:209
Hoffman HJ (1983) Optic pathway gliomas. In Amador L (ed) Brain tumors in the young. Charles C. Thomas, Springfield, IL, pp 622–633
Matson DD (1969) Neurosurgery of infancy and childhood. Charles C. Thomas, Springfield, IL, pp 436–448
McCullough DC, Johnson DL (1989) Optic nerve gliomas and other tumors involving the optic nerve and chiasm. In: McLaurin RL (ed) Pediatric neurosurgery. Saunders, Philadelphia, pp 391–397
Sayers MP (1982) Optic nerve gliomas. In: McLaurin RL (ed) Pediatric neurosurgery. Grune & Stratton, New York, pp 513–522
Hoffman HJ, Humphreys RP, Drake JM, et al (1993) Optic pathway/hypothalamic gliomas: a dilemma in management. Pediatr Neurosurg 19:186–195
Liu GT, Brodsky MC, Phillips PC, Belasco J, Janss A, Golden JC, Bilaniuk LL, Burson T, Duhaime AC, Sutton LN (2004) Optic radiation involvement in optic pathways gliomas in neurofibromatosis. Am J Ophthalmol 137:407–414
Menor F, Marti-Bonmati L, Arana E, Poyatos C, Cortina H (1998) Neurofibromatosis type one in children: MR imaging and follow-up studies of central nervous system findings. Eur J Radiol 26:121–131
Brzowski AE, Bazan C, Mumma JV, Ryan SG (1992) Spontaneous regression of optic glioma in a patient with neurofibromatosis. Neurology 42:679–680
Gottschalk S, Tavkolian R, Buske A, Tinschert S, Lehmann R (1999) Spontaneous remission of chiasmatic/hypothalamic masses in neurofibromatosis type 1: report of two cases. Neuroradiology 91:199–201
Parazzini C, Triulzi F, Bianchini E, Agnetti V, Conti M, Zanolini C, Maninetti MM, Rossi LN, Scotti G (1995) Spontaneous involution of optic pathway lesions in neurofibromatosis type I: serial contrast MR evaluation. Am J Neuroradiol 16:1711–1718
Parsa CF, Hoyt CS, Lesser RL, Weinstein JM, Strother CM, Muci-Mendoza R, Ramella M, Manor RS, Fletcher WA, Repka MX, Garrity JA, Ebner RN, Monteiro MLR, McFadzean RM, Rubtsova IV, Hoyt WF (2001) Spontaneous regression of optic gliomas. Arch Ophthalmol 119:516–529
Perilongo G, Moras P, Carollo C, Battistella A, Clementi M, Laverda A, Murgia A (1999) Spontaneous partial regression of low grade glioma in children with neurofibromatosis-1: a real possibility. J Child Neurol 14:352–356
Shuper A, Horev G, Kornreich L, Michowiz S, Weitz R, Zaizov R, Cohen IJ (1997) Visual pathway glioma: an erratic tumour with therapeutic dilemmas. Arch Dis Child 76:259–263
Kovalic JJ, Grigsby PW, Shepard MJ, Fineberg BB, Thomas PR (1990) Radiation therapy for gliomas of the optic nerve and chiasm. Int J Radiat Oncol Biol Phys 18:927–932
Weiss L, Sagerman RH, King GA, Chung CT, Dubowy RL (1987) Controversy in the management of optic nerve glioma. Cancer 59:1000–1004
Wong JY, Uhl V, Wara WM, Sheline GE (1987) Optic gliomas. A reanalysis of the University of California, San Francisco experience. Cancer 60:1847–1855
Epstein MA, Packer RJ, Rorke LB, Zimmerman RA, Goldwein JW, Sutton LN, Schut L (1992) Vascular malformation with radiation vasculopathy after treatment of chiasmatic/hypothalamic glioma. Cancer 70:887–893
Packer RJ, Savino PJ, Bilaniuk LT, Zimmerman RA, Schatz NJ, Rosenstock JG, Nelson DS, Jarrett PD, Bruce DA, Schut L (1983) Chiasmatic gliomas of childhood. A reappraisal of natural history and effectiveness of cranial irradiation. Childs Brain 10:393–403
Petronio J, Edwards MS, Prados M, Freyberger S, Rabbitt J, Silver P, Levin VA (1991) Management of chiasmal and hypothalamic gliomas of infancy and childhood with chemotherapy. J Neurosurg 74:701–708
Rosenstock JG, Packer RJ, Bilaniuk L, Bruce DA, Radcliffe JL, Savino P (1985) Chiasmatic optic glioma treated with chemotherapy. A preliminary report. J Neurosurg 63:862–866
Listernick R, Charrow J, Tomita T, Goldman S (1999) Carboplatin therapy for optic pathway tumors in children with neurofibromatosis type-1. J Neurooncology 45:185–190
Packer RJ, Lange B, Ater J, Nicholson S, Allen J, Walker R, Prados M, Jakacki R, Reaman G, Needles MN, Phillips PC, Ryan J, Boyett JM, Geyer R, Finlay J (1993) Carboplatin and vincristine for recurrent and newly diagnosed low grade gliomas of childhood. J Clin Oncol 11:850–856
Moghrabi A, Friedman HS, Burger PC, Tien R, Oakes WJ (1993) Carboplatin treatment of progressive optic pathway gliomas to delay radiotherapy. J Neurosurg 79:223–227
Colosimo C, Cerase A, Giulio M (2000) Regression after biopsy of a pilocytic opticochiasmatic astrocytoma in a young adult without neurofibromatosis. Neuroradiology 42:352–356
Kernan JC, Horgan MA, Piatt JH, D’Agostino A (1998) Spontaneous involution of a diencephalic astrocytoma. Pediatr Neurosurg 29:149–153
Leisti EL, Pyhtinen J, Poyhonen M (1996) Spontaneous decrease of a pilocytic astrocytoma in neurofibromatosis type 1. Am J Neuroradiol 17:1691–1694
Rubtsova IV, Parsa CF, Hoyt WF (1998) Spontaneous regression of familial glioma of the optic nerve in a boy with suspected neurofibromatosis 1 (Recklinghausen’s disease). Vestn Oftalmol 114(3):48–51
Schmandt SM, Packer RJ, Vezina LG, Jane J (2000) Spontaneous regression of low grade astrocytomas in childhood. Pediatr Neurosurg 32:132–136
Takeuchi H, Kabuto M, Sato K, Kubota T (1997) Chiasmal gliomas with spontaneous regression: proliferation and apoptosis. Childs Nerv Syst 13:229–233
Guttman DH, Collins FS (1992) Recent progress toward understanding the molecular biology of von Recklinghausen neurofibromatosis. Ann Neurol 31:555
Basu TN, Gutmann DH, Fletcher JA (1992) Aberrant regulation of ras proteins in malignant tumour cells from type 1 neurofibromatosis. Nature 356:713
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Piccirilli, M., Lenzi, J., Delfinis, C. et al. Spontaneous regression of optic pathways gliomas in three patients with neurofibromatosis type I and critical review of the literature. Childs Nerv Syst 22, 1332–1337 (2006). https://doi.org/10.1007/s00381-006-0061-3
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DOI: https://doi.org/10.1007/s00381-006-0061-3