Cavernous angioma of the optic chiasm or optic nerve is extremely rare. We report the case of a 58-year-old woman with cavernous angioma of the optic chiasm. The lesion was totally removed through the eyebrow keyhole approach, which allowed appropriate intraoperative exploration of the optic chiasm and related structures. The present case confirms that a cavernous angioma located in the optic chiasm can be totally resected without further impairment of visual function.
Key words:
Cavernous Angioma - Keyhole Approach - Optic Chiasm
References
-
1
Houtteville J P.
Brain cavernoma: a dynamic lesion.
Surg Neurol.
1997;
48
610-614
-
2
Requena I, Arias M, Lopez-Ibor L. et al .
Cavernomas of the central nervous system: clinical and neuroimaging manifestations in 47 patients.
J Neurol Neurosurg Psychiatry.
1991;
54
590-594
-
3
Maruoka N, Yamakawa Y, Shimauchi M.
Cavernous hemangioma of the optic nerve.
J Neurosurg.
1988;
69
292-294
-
4
Ferreira N P, Ferreira M P.
Optic nerve apoplexy caused by a cavernous angioma: case report.
Neurosurgery.
1992;
30
262-264
-
5
Lejeune J P, Hladky J P, Dupard T, Parent M, Hache J C, Christiaens J L.
Apoplexie optochiasmatique.
Neurochirurgie.
1990;
36
303-307
-
6
Manz H J, Klein L H, Fermaglich J et al.
Cavernous hemangioma of optic chiasm, optic nerves and right optic tract. Case report and review of the literature.
Virchows Arch (A).
1979;
383
225-231
-
7
Mohr G, Hardy J, Gauvin P.
Chiasmal apoplexy due to ruptured cavernous hemangioma of the optic chiasm.
Surg Neurol.
1985;
24
636-640
-
8 Rengachary S S, Kalyan-Raman U P. Other cranial intradural angiomas. In: Wilkins RH, Rengachary SS (eds.). Neurorsurgery, Vol 2 New York: McGraws Hill 1985: 1465-1473
-
9 Rubinstein L J. Tumors of the Central Nervous System. Atlas of Tumor Pathology, series 2, fascicle 6. Washington, DC: Armed Forces Institute of Pathology 1972: 245-246
-
10
Voigt K, Yasargil M G.
Cerebral cavernous hemangiomas or cavernomas. Incidence, pathology, localization, diagnosis, clinical features and treatment. Review of the literature and report of an usual case.
Neurochirurgia (Stuttg).
1976;
19
59-68
-
11
Maitland C G, Abiko S, Hoyt W F, Wilson CB, Okamura T.
Chiasmal apoplexy. Report of four cases.
J Neurosurg.
1982;
56
118-122
-
12
Rigamonti D, Drayer B P, Johnson P C, Hadley M N, Zabramski J, Spetzler R F.
The MRI appearance of cavernous malformations (angiomas).
J Neurosurg.
1987;
67
518-524
Corresponding Author:
V. Glunčić,M. D., M. S.
Department of Neurosurgery
Clinical Hospital Centre Zagreb
Kišpatićeva 12
10000 Zagreb
Croatia
Phone: Phone:+385-1-2363530
Fax: Fax:+385-1-2363531
Email: E-mail:vicko@mamef.mef.hr
