title: Recurrent chiasmal apoplexy due to cavernous malformation.
abstract: 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.
authors.affiliation: Department of Ophthalmology, University of Utah, Salt Lake City 84132, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Warner
authors.forename: J F
authors.initials: JF
authors.lastname: Rizzo
authors.forename: E W
authors.initials: EW
authors.lastname: Brown
authors.forename: C S
authors.initials: CS
authors.lastname: Ogilvy
mesh_terms: 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