title: Optic nerve vascular compression in a patient with a tuberculum sellae meningioma.
abstract: Background. Optic nerve vascular compression in patients with suprasellar tumor is a known entity but is rarely described in the literature. Case Description. We present a unique, well-documented case of optic nerve strangulation by the A1 segment of the anterior cerebral artery in a patient with a tuberculum sellae meningioma. The patient presented with pronounced progressive visual deterioration. Following surgery, there was immediate resolution of her visual deficit. Conclusion. Vascular strangulation of the optic nerve should be considered when facing progressive and/or severe visual field deterioration in patients with tumors proximal to the optic apparatus.
authors.affiliation: Department of Neurosurgery, Hadassah-Hebrew University Medical Center, 91120 Jerusalem, Israel.
authors.forename: Cezar José
authors.initials: CJ
authors.lastname: Mizrahi
authors.affiliation: Department of Neurosurgery, Hadassah-Hebrew University Medical Center, 91120 Jerusalem, Israel.
authors.forename: Samuel
authors.initials: S
authors.lastname: Moscovici
authors.affiliation: Department of Ophtalmology, Hadassah-Hebrew University Medical Center, 91120 Jerusalem, Israel.
authors.forename: Shlomo
authors.initials: S
authors.lastname: Dotan
authors.affiliation: Department of Neurosurgery, Hadassah-Hebrew University Medical Center, 91120 Jerusalem, Israel.
authors.forename: Sergey
authors.initials: S
authors.lastname: Spektor