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Chiasmal cavernoma: a rare cause of acute visual loss improved by prompt surgery
Hadas Newman1, Margalit Nevo, Shlomi Constantini
1Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Abstract:
We report a 16-year-old healthy boy who presented with sudden loss of vision in both eyes, accompanied by a mild headache. Magnetic resonance imaging showed a chiasmal apoplexy. An urgent craniotomy revealed a cavernous malformation of the chiasm, which was evacuated. There was a subsequent dramatic improvement in bilateral visual acuity and visual field defects. This case report emphasizes the importance of rapid diagnosis and surgery of an anterior visual pathway cavernous malformation.
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