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Journal of Korean Neurosurgical Society 2008;44(2): 88-90.
doi: https://doi.org/10.3340/jkns.2008.44.2.88
Cavernous Malformation of the Optic Chiasm : Case Report.
Dong Wuk Son, Sang Weon Lee, Chang Hwa Choi
Department of Neurosurgery, Pusan National University School of Medicine, Busan, Korea. sangweonlee@pusan.ac.kr
Cavernous malformations (CMs) arising from the optic nerve and chiasm are extremely rare. The authors present a case of 39-year-old woman with CMs of the optic chiasm. She was referred due to sudden onset of bitemporal hemianopsia and headache, the so-called 'chiasmal apoplexy'. MRI findings suggested a diagnosis of hemorrhage and vascular malformation of the optic chiasm. Pterional craniotomy revealed an intrachiasmatic cavernous malformation with hemorrhage. The malformation was totally excised, but field deficits remained unchanged after surgery.
Key Words: Cavernous malformation; Optic chiasm; Apoplexy
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