CAVERNOUS HEMANGIOMA OF OPTIC CHIASM, OPTIC NERVES AND RIGHT OPTIC TRACT - CASE-REPORT AND REVIEW OF LITERATURE

被引:52
作者
MANZ, HJ
KLEIN, LH
FERMAGLICH, J
KATTAH, J
LUESSENHOP, AJ
机构
[1] GEORGETOWN UNIV,MED CTR,DEPT NEUROL,WASHINGTON,DC 20007
[2] GEORGETOWN UNIV,MED CTR,DEPT SURG,DIV NEUROSURG,WASHINGTON,DC 20007
关键词
Cavernous hemangioma; Vascular malformation; Visual system lesions;
D O I
10.1007/BF01200902
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
Diminishing right ocular visual acuity for three weeks in a 30 year old man was confirmed by examination. Bilateral scotomata and bitemporal hemiachromatopsia indicated a chiasmal lesion; reduced visual acuity and Marcus Gunn pupil of the right eye and left relative temporal hemianopia indicated asymmetric involvement. Erythrocytes in the CSF verified a suspected subarachnoid bleed; contrast-enhanced CAT scan demonstrated a suprasellar mass. A cystic, multiloculated, bluish mass distorted the right optic nerve, tract, and chiasm. A hematoma was evacuated and biopsy revealed a cavernous hemangioma of the right optic nerve. Post-operatively, visual acuity has recovered in the right eye but a left homonymous temporal hemianopia has developed. © 1979 Springer-Verlag.
引用
收藏
页码:225 / 231
页数:7
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