Cavernous hemangioma of optic chiasm, optic nerves and right optic tract. Case report and review of literature.
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.
D000328:Adult; D001932:Brain Neoplasms / Q000473:pathology; D003390:Cranial Nerve Neoplasms / Q000473:pathology / Q000601:surgery; D006392:Hemangioma, Cavernous / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D009897:Optic Chiasm; D009901:Optic Nerve Diseases / Q000473:pathology / Q000601:surgery; D014795:Visual Pathways