[Cavernous angioma of the second cranial nerve and chiasmatic apoplexy].
We present the case of a female patient who developed chiasmatic apoplexy and menstrual alterations. CT scanning showed a suprasellar hemorrhage. She underwent surgery with the presumptive diagnosis of pituitary tumor. At surgery, we find a brown-grayish lesion involving left optic nerve and chiasm. Cavernous angioma was diagnosed by histopathology. Cavernous angiomas constitute nearly 15% of all central nervous system vascular malformations. Location at the optic pathway is very rare, but must to be ruled out in the diagnosis of a patient with chiasmatic and/or optic apoplexy. Surgery is useful in preventing worsening of the previous deficit or a new visual defect.
Santos-Ditto
R A
RA
Servicio de Neurocirugía., Hospital Alcívar, Guayaquil, Equador.
Santos-Franco
J A
JA
Pinos-Gavilanes
M W
MW
D000236:Adenoma / Q000175:diagnosis; D000328:Adult; D003399:Craniotomy; D003937:Diagnosis, Differential; D004630:Emergencies; D005260:Female; D006261:Headache / Q000209:etiology; D006392:Hemangioma, Cavernous / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008866:Microsurgery; D009897:Optic Chiasm / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000601:surgery; D019574:Optic Nerve Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D010899:Pituitary Apoplexy / Q000175:diagnosis; D010911:Pituitary Neoplasms / Q000175:diagnosis; D020521:Stroke / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology; D014794:Visual Fields