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Minim Invasive Neurosurg 2001; 44(2): 114-116
DOI: 10.1055/s-2001-16008
ORIGINAL PAPER
Georg Thieme Verlag Stuttgart · New York

Minimally Invasive Treatment of Cavernous Angioma of the Optic Chiasm: Case Report

J. Paladino1 , K. Rotim1 , N. Pirker1 , V. Glunčić1 , G. Jurić2 , M. Kalauz3
  • 1Department of Neurosurgery, Clinical Hospital Centre Zagreb, Zagreb, Croatia
  • 2Department of Neuropathology, Clinical Hospital Centre Zagreb, Zagreb, Croatia
  • 3Department of Ophthalmology, Clinical Hospital Centre Zagreb, Zagreb, Croatia
Further Information

Publication History

Publication Date:
31 December 2001 (online)

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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
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 3 Maruoka N, Yamakawa Y, Shimauchi M. Cavernous hemangioma of the optic nerve.  J Neurosurg. 1988;  69 292-294
    CrossrefPubMedGoogle Scholar
  • 4 Ferreira N P, Ferreira M P. Optic nerve apoplexy caused by a cavernous angioma: case report.  Neurosurgery. 1992;  30 262-264
    CrossrefPubMedGoogle Scholar
  • 5 Lejeune J P, Hladky J P, Dupard T, Parent M, Hache J C, Christiaens J L. Apoplexie optochiasmatique.  Neurochirurgie. 1990;  36 303-307
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 7 Mohr G, Hardy J, Gauvin P. Chiasmal apoplexy due to ruptured cavernous hemangioma of the optic chiasm.  Surg Neurol. 1985;  24 636-640
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    Google Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar

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