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Bilateral chiasm and optic nerve micro-decompression in a child with extensive cranial fibrous dysplasia: how I do it
Carlos Butrón-Díaz1, Mónica Rivero-Garvia2,3, Javier Márquez-Rivas2,3,4
1Department of Pediatric Neurosurgery, Virgen del Rocío University Hospital, Av. Manuel Siurot, S/N, 41013, Seville, Spain. carlosbutron91@gmail.com.
Background:
Surgical decompression to the optic-chiasmatic region in craneofacial fibrous dysplasia (CFD) must be performed safely to improve or stabilize visual loss.
Method:
We describe a technical nuance when facing on a huge, deformed skull with potentially imbricated dura mater. Craniectomy was performed in concentric arches allowing to expose surgical field and elevated step by step. Bilateral micro-decompression was performed after without difficulties.
Conclusions:
Decompressing both optic nerves using this technique is safe and relatively simple to perform.
