Chiasmal apoplexy: haemorrhage from a cavernous malformation in the optic chiasm. Issue 9 (September 1989)

• Record Type: Journal Article
• Authors: Regli, L; de Tribolet, N; Regli, F; Bogousslavsky, J
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 52:Issue 9(1989)
• Page Start: 1095
• Page End: 1099
• Publication Date: 1989-09
• Subjects: Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.52.9.1095
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : We present a patient who experienced sudden onset of orbital headache, visual loss and bitemporal visual field defect. MRI of the optic chiasm suggested a diagnosis of haemorrhage and hence a vascular malformation. Pterional craniotomy revealed an intrachiasmatic haematoma with a cavernous angioma. The malformation was totally excised and vision improved after surgery. The syndrome of chiasmal apoplexy is discussed.