| Literature DB >> 157624 |
L H Klein, J Fermaglich, J Kattah, A J Luessenhop.
Abstract
Diminishing right ocular visual acuity for three weeks in a 30 year old man was confirmed by examination. Bilateral scotomata and bitemporal hemiachromatopsia indicated a chiasmal lesion; reduced visual acuity and Marcus Gunn pupil of the right eye and left relative temporal hemianopia indicated asymmetric involvement. Erythrocytes in the CSF verified a suspected subarachnoid bleed; contrast-enhanced CAT scan demonstrated a suprasellar mass. A cystic, multiloculated, bluish mass distorted the right optic nerve, tract, and chiasm. A hematoma was evacuated and biopsy revealed a cavernous hemangioma of the right optic nerve. Post-operatively, visual acuity has recovered in the right eye but a left homonymous temporal hemianopia has developed.Entities:
Mesh：
Year: 1979 PMID： 157624 DOI： 10.1007/bf01200902
Source DB: PubMed Journal: Virchows Arch A Pathol Anat Histol ISSN： 0340-1227