Cavernous Hemangioma of the Chiasm and Left Optic Nerve
| Autor: | Oleksandr Voznyak, Nazarii Hryniv, Andrii Lytvynenko, Oleg Maydannyk, Olga Kalenska |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
genetic structures Optic tract Neurosurgery Optic chiasm 030204 cardiovascular system & hematology cavernous angioma optic nerve Hemangioma Angioma 03 medical and health sciences 0302 clinical medicine medicine case report medicine.diagnostic_test business.industry optic chiasm General Engineering surgical resection Magnetic resonance imaging medicine.disease Cavernous malformations eye diseases Ophthalmology medicine.anatomical_structure Neurology Optic nerve Radiology Headaches medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.8068 |
| Popis: | Cavernous malformations (CMs) of the optic nerves, chiasm, and optic tract are very rare. This report describes a 26-year-old man who presented with recurring headaches, loss of vision in his left eye, and elevated blood pressure. After being diagnosed with glioma of the chiasm, he was referred to our department. Magnetic resonance imaging revealed signs of a mass lesion of the left chiasmal area, a finding confirmed after transcranial biopsy. In February 2015, he underwent gross total resection of the cavernous angioma of the chiasm and the left optic nerve. Three months later, the patient's vision returned to normal. The absence of a typical clinical picture and the lack of radiological visualization can hinder pathologic diagnosis. Total microsurgical resection is the optimal treatment strategy for patients with CMs of the chiasm and optic nerve because it usually results in improved vision and long-term benefits. The results in this patient demonstrate the importance of rapid diagnosis and gross total surgical resection of CMs of the chiasm and left optic nerve. |
| Databáze: | OpenAIRE |
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