Recurrent chiasmal apoplexy due to cavernous malformation.
We report a case of chiasmal apoplexy due to a cavernous malformation (CM). Surgery was delayed because of the patient's advanced pregnancy, and nearly complete recovery of vision occurred spontaneously. Recurrent hemorrhage prompted surgical extirpation. The patient was left with a residual deficit. The literature pertaining to chiasmal apoplexy and CMs is reviewed. Nearly half of the reported cases of chiasmal CM had recurrent hemorrhages. The co-occurrence of hemorrhage from CM and pregnancy is too rare to merit any conclusions about cause and effect.
Warner
J E
JE
Department of Ophthalmology, University of Utah, Salt Lake City 84132, USA.
Rizzo
J F
JF
Brown
E W
EW
Ogilvy
C S
CS
D000328:Adult; D001766:Blindness / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D002536:Cerebral Arteries / Q000002:abnormalities*; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009897:Optic Chiasm / Q000098:blood supply*; D011247:Pregnancy; D012008:Recurrence; D014794:Visual Fields