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[Cavernous angioma of the optic chiasm]
J P Castel1, C Delorge-Kerdiles, J Rivel
1Clinique Universitaire de Neurochirurgie, Groupe Hospitalier Pellegrin, Bordeaux.
Neuro-Chirurgie
|January 1, 1989
Summary
A rare case of hemorrhagic cavernous hemangioma affecting the optic chiasma and optic nerve is presented. Surgical removal of the lesion led to slight visual improvement in this unique patient.
Area of Science:
- Neuro-ophthalmology
- Neurosurgery
- Vascular Neurology
Background:
- Cavernous hemangiomas are rare vascular malformations.
- Optic chiasm and optic nerve involvement is exceptionally uncommon.
- Hemorrhage within these lesions can cause acute neurological deficits.
Observation:
- A 23-year-old woman presented with subacute visual disturbance and headache.
- Imaging revealed an intrachiasmal hematoma.
- Surgical exploration identified a cavernous hemangioma within the hematoma.
Findings:
- The cavernous hemangioma was successfully evacuated and totally removed via a fronto-pterional approach.
- Postoperative recovery showed mild improvement in visual symptoms.
- This represents one of the few reported cases of cavernous hemangioma in this location.
Implications:
- Highlights the importance of considering vascular malformations in the differential diagnosis of optic pathway lesions.
- Demonstrates the feasibility and potential benefit of surgical intervention for symptomatic cavernous hemangiomas of the optic chiasm.
- Contributes to the limited literature on this rare condition, aiding future clinical management and research.