• Surg Neurol Int · Jan 2015

    Case Reports

    Cavernous malformation of the optic chiasm: An uncommon location.

    • Concetta Alafaci, Giovanni Grasso, Francesca Granata, Mariano Cutugno, Daniele Marino, Francesco M Salpietro, and Francesco Tomasello.
    • Department of Neurosurgery, University of Messina, Italy.
    • Surg Neurol Int. 2015 Jan 1; 6: 60.

    BackgroundCavernous malformations (CMs) of the optic chiasm are rare lesions often presenting with acute chiasmal syndrome or a progressive visual loss. The case of a 48-year-old female with an intrachiasmatic CM is presented.Case DescriptionThe patient presented with an insidious history of progressive visual loss. Magnetic resonance imaging (MRI) showed a CM in the suprasellar region. The patient was operated via a right pterional approach with a complete lesion removal. The postoperative course was uneventful. Early postoperative ophthalmological examination revealed minimal improvement of the vision in the left eye.ConclusionThe clinical, neuroradiological, and intraoperative findings are presented, along with a review of the literature.

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