Indian Journal of Neurosurgery 2016; 05(03): 185-188
DOI: 10.1055/s-0036-1584592
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Apoplexy in Optochiasmatic Cavernous Hemangioma Causing Visual Diminution: A Case Report

Sumit Bansal
1   Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
,
Ashish Suri
2   Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
,
Vaishali Suri
3   Department of Neuropathology, All India Institute of Medical Sciences, New Delhi, India
,
Aanchal Kakkar
3   Department of Neuropathology, All India Institute of Medical Sciences, New Delhi, India
› Author Affiliations
Further Information

Publication History

15 December 2015

14 January 2016

Publication Date:
14 July 2016 (online)

Abstract

This report concerns a woman who presented with abrupt onset of monocular visual symptoms accompanied by an intense holocranial headache, diagnosed as optic chiasm apoplexy caused by a cavernous hemangioma of the optic chiasm. The surgical and histologic findings demonstrated a cavernous hemangioma. The lesion was removed completely without any noticeable bleeding. The preoperative visual deficit improved after surgery.

 
  • References

  • 1 Hassler W, Zentner J, Wilhelm H. Cavernous angiomas of the anterior visual pathways. J Clin Neuroophthalmol 1989; 9 (3) 160-164
  • 2 Klein LH, Fermaglich J, Kattah J, Luessenhop AJ. Cavernous hemangioma of optic chiasm, optic nerves and right optic tract. Case report and review of literature. Virchows Arch A Pathol Anat Histol 1979; 383 (2) 225-231
  • 3 Maitland CG, Abiko S, Hoyt WF, Wilson CB, Okamura T. Chiasmal apoplexy. Report of four cases. J Neurosurg 1982; 56 (1) 118-122
  • 4 Reilly PL, Oatey PE. Optic nerve apoplexy. Report of two cases. J Neurosurg 1986; 64 (2) 313-316
  • 5 Lejeune JP, Hladky JP, Dupard T, Parent M, Hache JC, Christiaens JL. Apoplexie opto-chiasmatique. Neurochirurgie 1990; 36 (5) 303-307
  • 6 Lavin PJM, McCrary III JA, Roessmann U, Ellenberger Jr C. Chiasmal apoplexy: hemorrhage from a cryptic vascular malformation in the optic chiasm. Neurology 1984; 34 (8) 1007-1011
  • 7 Maruoka N, Yamakawa Y, Shimauchi M. Cavernous hemangioma of the optic nerve. Case report. J Neurosurg 1988; 69 (2) 292-294
  • 8 Mohr G, Hardy J, Gauvin P. Chiasmal apoplexy due to ruptured cavernous hemangioma of the optic chiasm. Surg Neurol 1985; 24 (6) 636-640
  • 9 Costa e Silva I, Symon L. Cavernous hemangioma of the optic canal. Report of two cases. J Neurosurg 1984; 60 (4) 838-841
  • 10 Simard JM, Garcia-Bengochea F, Ballinger Jr WE, Mickle JP, Quisling RG. Cavernous angioma: a review of 126 collected and 12 new clinical cases. Neurosurgery 1986; 18 (2) 162-172