Complete resection of a cavernous haemangioma of the optic nerve, the chiasm, and the optic tract.
The involvement of the optic nerve, the chiasma, and the optic tract by a cavernoma has been reported in only three patients. In all of them, a biopsy of the vascular lesion was obtained. We report a further example of a 38-year-old male patient who suffered from acute onset of severe headache and progressive loss of vision. The vascular malformation of the optic pathways was completely removed via a pterional approach. This is the first reported instance of complete resection of a cavernoma involving the optic nerve, the chiasm, and the optic tract.
Hempelmann
R G
RG
Department of Neurosurgery, Städtisches Klinikum Dessau, Dessau, Germany. ralf.hempelmann@klinikum-dessau.de
Mater
E
E
Schröder
F
F
Schön
R
R
D000328:Adult; D003399:Craniotomy / Q000379:methods; D020786:Hemangioma, Cavernous, Central Nervous System / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D009897:Optic Chiasm / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D009900:Optic Nerve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D019574:Optic Nerve Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015354:Vision, Low / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D014795:Visual Pathways / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery