Chiasmal apoplexy due to ruptured cavernous hemangioma of the optic chiasm.
A 30-year-old obese patient with a rapidly progressing chiasmal syndrome presented with acute bitemporal hemianopia, severe bilateral amblyopia, mental confusion, and lethargy. X-ray films of the skull showed a normal sella turcica and computed tomography scan as well as angiography revealed a vascular mass within the chiasmatic cistern. At operation, via left subfrontal approach, an intrachiasmal hematoma was evacuated and biopsies of the hematoma cavity revealed a cavernous hemangioma. Visual symptoms improved markedly postoperatively. This rare association of chiasmal apoplexy and intrachiasmal cavernoma is discussed.
D000328:Adult; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D002648:Child; D003390:Cranial Nerve Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006392:Hemangioma, Cavernous / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D009897:Optic Chiasm / Q000000981:diagnostic imaging / Q000473:pathology; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed