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Neurocirugia (Astur) ; 18(1): 47-51, 2007 Feb.
Article in Spanish | MEDLINE | ID: mdl-17393047

ABSTRACT

We present the case of a female patient who developed chiasmatic apoplexy and menstrual alterations. CT scanning showed a suprasellar hemorrhage. She underwent surgery with the presumptive diagnosis of pituitary tumor. At surgery, we find a brown-grayish lesion involving left optic nerve and chiasm. Cavernous angioma was diagnosed by histopathology. Cavernous angiomas constitute nearly 15% of all central nervous system vascular malformations. Location at the optic pathway is very rare, but must to be ruled out in the diagnosis of a patient with chiasmatic and/or optic apoplexy. Surgery is useful in preventing worsening of the previous deficit or a new visual defect.


Subject(s)
Hemangioma, Cavernous/complications , Optic Chiasm/blood supply , Optic Nerve Neoplasms/complications , Stroke/etiology , Adenoma/diagnosis , Adult , Craniotomy , Diagnosis, Differential , Emergencies , Female , Headache/etiology , Hemangioma, Cavernous/diagnostic imaging , Hemangioma, Cavernous/surgery , Humans , Microsurgery , Optic Chiasm/diagnostic imaging , Optic Chiasm/surgery , Optic Nerve Neoplasms/diagnostic imaging , Optic Nerve Neoplasms/surgery , Pituitary Apoplexy/diagnosis , Pituitary Neoplasms/diagnosis , Tomography, X-Ray Computed , Vision Disorders/etiology , Visual Fields
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