Microsurgical resection of a cavernous angioma that involves the optic pathway using a pterional approach: a case report and literature review
| Autor: | Xi-Yan Sun, Feng Yu |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Microsurgery
medicine.medical_specialty genetic structures Neurosurgery Optic chiasm Angioma Hemangioma Blurred vision medicine Humans Child medicine.diagnostic_test business.industry Optic Nerve Neoplasms Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging Craniopharyngioma Hyperintensity Surgery Hemangioma Cavernous Treatment Outcome medicine.anatomical_structure Optic Chiasm Optic nerve Female Neurology (clinical) Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | British Journal of Neurosurgery. 26:882-885 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.3109/02688697.2012.685820 |
| Popis: | Cavernous angiomas affecting the optic pathway are rare. This report describes the case of a 12-year-old girl who presented with a 10-month history of right-sided blurred vision caused by a cavernous angioma affecting the right side of the optic chiasm. The computed tomography (CT) scan demonstrated a hyperdense image with calcifications. T1-weighted magnetic resonance imaging (MRI) showed a sellar mass with uneven isointensities and hyperintensities, while T2-weighted showing a heterogeneous signal, which was initially misdiagnosed as a craniopharyngioma. The patient underwent complete resection of the mass using a pterional approach, which rapidly decompresses and protects the optic nerve function, rather than conservative treatment or cranial irradiation. Postoperative histopathology confirmed the diagnosis of a cavernous angioma. |
| Databáze: | OpenAIRE |
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