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[Opticochiasmatic apoplexy]
J P Lejeune1, J P Hladky, T Dupard
1Service de Neurochirurgie A, C.H.R.U., Hôpital B, Lille.
Neuro-Chirurgie
|January 1, 1990
Abstract:
A 26-year-old patient presented with acute chiasmal syndrome. Computerized Tomography and Magnetic Resonance Imaging demonstrated an intrachiasmal hematoma which was evacuated via a right subfrontal approach. Histological examination revealed an arteriovenous malformation. In 21 similar cases in the literature, surgery generally resulted in the improvement of ophthalmological signs. In 3/4 of the cases, histology identified a subjacent lesion (arteriovenous malformation, cavernoma, venous angioma, glioma).