J Korean Neurosurg Soc.  2008 Aug;44(2):88-90. 10.3340/jkns.2008.44.2.88.

Cavernous Malformation of the Optic Chiasm : Case Report

Affiliations
  • 1Department of Neurosurgery, Pusan National University School of Medicine, Busan, Korea. sangweonlee@pusan.ac.kr

Abstract

Cavernous malformations (CMs) arising from the optic nerve and chiasm are extremely rare. The authors present a case of 39-year-old woman with CMs of the optic chiasm. She was referred due to sudden onset of bitemporal hemianopsia and headache, the so-called 'chiasmal apoplexy'. MRI findings suggested a diagnosis of hemorrhage and vascular malformation of the optic chiasm. Pterional craniotomy revealed an intrachiasmatic cavernous malformation with hemorrhage. The malformation was totally excised, but field deficits remained unchanged after surgery.

Keyword

Cavernous malformation; Optic chiasm; Apoplexy

MeSH Terms

Adult
Caves
Craniotomy
Female
Headache
Hemianopsia
Hemorrhage
Humans
Optic Chiasm
Optic Nerve
Stroke
Vascular Malformations
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