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Chiasmal Apoplexy:Haemorrhage from a Cavernous Malformation in the Optic Chiasm
JNNP 52:1095-1099, Regli,L.,et al, 1989
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Article Abstract
We present a patient who experienced sudden onset of orbital headache, visual loss and bitemporal visual field defect.MRI of the optic chiasm suggested a diagnosis of haemorrhage and hence a vascular malformation. Pterional craniotomy revealed an intrachiasmatic haematoma with a cavernous angioma.The malformation was totally excised and vision improved after surgery.The syndrome of chiasmal apoplexy is discussed.
 
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bitemporal visual field defect
cavernous hemangioma
headache
headache,sudden onset of
malformation,vascular
MRI
MRI,abnormal
optic chiasm
optic chiasm,hemorrhage in
pain,periorbital
visual field defect
visual loss

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