[Opticochiasmatic apoplexy].
A 26-year-old patient presented with acute chiasmal syndrome. Computerized Tomography and Magnetic Resonance Imaging demonstrated an intrachiasmal hematoma which was evacuated via a right subfrontal approach. Histological examination revealed an arteriovenous malformation. In 21 similar cases in the literature, surgery generally resulted in the improvement of ophthalmological signs. In 3/4 of the cases, histology identified a subjacent lesion (arteriovenous malformation, cavernoma, venous angioma, glioma).
Lejeune
J P
JP
Service de Neurochirurgie A, C.H.R.U., Hôpital B, Lille.
Hladky
J P
JP
Dupard
T
T
Parent
M
M
Hache
J C
JC
Christiaens
J L
JL
D000328:Adult; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D009897:Optic Chiasm; D009900:Optic Nerve; D011859:Radiography
Apoplexie opto-chiasmatique.