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Opticochiasmatic apoplexy
Authors:J P Lejeune  J P Hladky  T Dupard  M Parent  J C Hache  J L Christiaens
Affiliation:Service de Neurochirurgie A, C.H.R.U., H?pital B, Lille.
Abstract:
A 26-year-old patient presented with acute chiasmal syndrome. Computerized Tomography and Magnetic Resonance Imaging demonstrated an intrachiasmal hematoma which was evacuated via a right subfrontal approach. Histological examination revealed an arteriovenous malformation. In 21 similar cases in the literature, surgery generally resulted in the improvement of ophthalmological signs. In 3/4 of the cases, histology identified a subjacent lesion (arteriovenous malformation, cavernoma, venous angioma, glioma).
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