Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Cavernous Malformation of the Optic Chiasm : Case Report

  • Son, Dong-Wuk (Department of Neurosurgery, Pusan National University School of Medicine) ;
  • Lee, Sang-Weon (Department of Neurosurgery, Pusan National University School of Medicine) ;
  • Chol, Chang-Hwa (Department of Neurosurgery, Pusan National University School of Medicine)
  • Published : 2008.08.28
Download PDF
⟨ Previous Next ⟩

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 cavemous malformation with hemorrhage. The malformation was totally excised, but field deficits remained unchanged after surgery.

Keywords

References

  1. Del Curling O Jr, Kelly DL Jr, Elster AD, Craven TE : An analysis of the natural history of cavernous angiomas. J Neurosurg 75 : 702-708, 1991 https://doi.org/10.3171/jns.1991.75.5.0702
  2. Deshmukh VR, Albuquerque FC, Zabramski JM, Spetzler RF : Surgical management of cavernous malformations involving the cranial nerves. Neurosurgery 53 : 352-357; discussion 357, 2003 https://doi.org/10.1227/01.NEU.0000073531.84342.C2
  3. Lehner M, Fellner FA, Wurm G : Cavernous haemangiomas of the anterior visual pathways. Short review on occasion of an exceptional case. Acta Neurochir (Wien) 148 : 571-578; discussion 578, 2006 https://doi.org/10.1007/s00701-006-0751-3
  4. Maitland CG, Abiko S, Hoyt WF, Wilson CB, Okamura T : Chiasmal apoplexy. Report of four cases. J Neurosurg 56 : 118-122, 1982 https://doi.org/10.3171/jns.1982.56.1.0118
  5. Matias-Guiu X, Alejo M, Sole T, Ferrer I, Noboa R, Bartumeus F : Cavernous angiomas of the cranial nerves. Report of two cases. J Neurosurg 73 : 620-622, 1990 https://doi.org/10.3171/jns.1990.73.4.0620
  6. Muta D, Nishi T, Koga K, Yamashiro S, Fujioka S, Kuratsu J : Cavernous malformation of the optic chiasm : case report. Br J Neurosurg 20 : 312-315, 2006 https://doi.org/10.1080/02688690601000238
  7. Park DM, Kim DH : Cavernous angioma of the oculomotor nerve. J Korean Neurosurg Soc 38 : 147-150, 2005
  8. Rigamonti D, Hadley MN, Drayer BP, Johnson PC, Hoenig-Rigamonti K, Knight JT, et al : Cerebral cavernous malformations. Incidence and familial occurrence. N Engl J Med 319 : 343-347, 1988 https://doi.org/10.1056/NEJM198808113190605
  9. Robinson JR, Awad IA, Little JR : Natural history of the cavernous angioma. J Neurosurg 75 : 709-714, 1991 https://doi.org/10.3171/jns.1991.75.5.0709
  10. Shibuya M, Baskaya MK, Saito K, Suzuki Y, Ooka K, Hara M : Cavernous malformations of the optic chiasma. Acta Neurochir (Wien) 136 : 29-36, 1995 https://doi.org/10.1007/BF01411432