title: Chiasmatic cavernoma haemorrhage: To treat or not to treat? Concerning a clinical case.
abstract: We present the case of a 43-year-old man with acute visual loss due to an optic chiasm cavernoma. Our clinical and imaging findings quickly led us to this diagnosis. As a clinical improvement spontaneously occurred soon after the initial diagnosis, we decided not to perform any surgical treatment. The visual evolution was satisfactory and, to date after a 36-months follow-up, no clinical worsening has been reported. We present this clinical case regarding our approach, primarily a close follow-up, as well as a review of the literature.
authors.affiliation: Department of Interventional and Diagnostic Neuroradiology, Bordeaux University Hospital, 26, rue Mondenard, 33000 Bordeaux, France. Electronic address: gaultier_marnat@yahoo.fr.
authors.forename: G
authors.initials: G
authors.lastname: Marnat
authors.affiliation: Department of Neurosurgery A, Bordeaux University Hospital, 33000 Bordeaux, France.
authors.forename: E
authors.initials: E
authors.lastname: Gimbert
authors.affiliation: Department of Interventional and Diagnostic Neuroradiology, Bordeaux University Hospital, 26, rue Mondenard, 33000 Bordeaux, France.
authors.forename: J
authors.initials: J
authors.lastname: Berge
authors.affiliation: Department of Ophthalmology, Bordeaux University Hospital, 33000 Bordeaux, France.
authors.forename: M-B
authors.initials: MB
authors.lastname: Rougier
authors.affiliation: Department of Interventional and Diagnostic Neuroradiology, Bordeaux University Hospital, 26, rue Mondenard, 33000 Bordeaux, France.
authors.forename: S
authors.initials: S
authors.lastname: Molinier
authors.affiliation: Department of Interventional and Diagnostic Neuroradiology, Bordeaux University Hospital, 26, rue Mondenard, 33000 Bordeaux, France; Bordeaux University, Institut de Bio-Imagerie de Bordeaux UMS 3428, 33000 Bordeaux, France; Inserm, U862, Physiopathologie de la plasticité neuronale, 33000 Bordeaux, France.
authors.forename: V
authors.initials: V
authors.lastname: Dousset
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009897:Optic Chiasm / Q000473:pathology* / Q000601:surgery*; D019574:Optic Nerve Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Cavernoma; Cavernome; Chiasma optique; Cranial nerve; IRM; MRI; Nerfs crâniens; Optic chiasm