视交叉海绵状血管畸形：一个不常见的部位。
Cavernous malformation of the optic chiasm: An uncommon location.
作者信息
Alafaci Concetta, Grasso Giovanni, Granata Francesca, Cutugno Mariano, Marino Daniele, Salpietro Francesco M, Tomasello Francesco
机构信息
Department of Neurosurgery, University of Messina, Italy.
Experimental Biomedicine and Clinical Neurosciences (BIONEC), Section of Neurosurgery, University of Palermo, Italy.
出版信息
Surg Neurol Int. 2015 Apr 16;6:60. doi: 10.4103/2152-7806.155256. eCollection 2015.
BACKGROUND
Cavernous 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 DESCRIPTION
The 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.
CONCLUSION
The clinical, neuroradiological, and intraoperative findings are presented, along with a review of the literature.
背景
视交叉海绵状畸形（CMs）是罕见病变，常表现为急性视交叉综合征或进行性视力丧失。本文介绍了一名48岁患有视交叉内CM的女性病例。
病例描述
该患者有隐匿的进行性视力丧失病史。磁共振成像（MRI）显示鞍上区有一个CM。患者通过右侧翼点入路进行手术，病变完全切除。术后过程顺利。术后早期眼科检查显示左眼视力有轻微改善。
结论
本文介绍了临床、神经放射学和术中发现，并对相关文献进行了综述。
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