Surgical Implication of a Cavernous Hemangioma of the Optic Chiasm Showing Recurrent Hemorrhage After Long-Term Clinical Stability: A Case Report

Takeru Umemura, Shigeru Nishizawa and Junkoh Yamamoto
Additional contact information
Takeru Umemura: Department of Neurosurgery, Kyushu Rosai Hospital, Moji Medical Center, Japan
Junkoh Yamamoto: Department of Neurosurgery, University of Occupational and Environmental Health, Japan

Open Access Journal of Neurology & Neurosurgery, 2018, vol. 9, issue 4, 76-78

Abstract: Cavernous hemangiomas of the optic chiasm are rare, and hemorrhage from cavernous hemangiomas causes acute visual loss. Although some cases have been reported, the appropriate treatment has not been determined yet because of the scarcity of these reports. Here, we describe a patient with recurrent hemorrhage from a cavernous hemangioma of the optic chiasm after a long clinically stable period, and we discuss the surgical implication of this lesion. A 45-year-old man sustained right visual loss due to hemorrhage from a cavernous hemangioma of the optic chiasm 20 years ago and was conservatively observed. He suffered from acute visual loss in the left eye following sudden onset of headache, and he was hospitalized in our hospital. The patient complained of severe visual disturbance in the left eye in addition to long-term right visual loss. Magnetic Resonance Imaging showed recurrent hemorrhage from the lesion, and the whole chiasm was affected. We performed total excision of the lesion, and his vision improved, enabling him to return to work. This is the first report of recurrent hemorrhage from a cavernous hemangioma of the optic chiasm. We recommend surgical resection, even in clinically stable patients, to prevent recurrence.

Keywords: Open Access Journal of Neurology; Journal of Neurology & Neurosurgery; Open Access Journal; juniper publishers; neurology open access journals; journal of neurology; neurology indexed journals; neurology scholarly journals; journal of neurology; neurology journals impact factor; juniper publishers reivew (search for similar items in EconPapers)
Date: 2018
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://juniperpublishers.com/oajnn/pdf/OAJNN.MS.ID.555769.pdf (application/pdf)
https://juniperpublishers.com/oajnn/OAJNN.MS.ID.555769.php (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:adp:joajnn:v:9:y:2018:i:4:p:76-78

DOI: 10.19080/OAJNN.2018.09.555769

Access Statistics for this article

Open Access Journal of Neurology & Neurosurgery is currently edited by Sophia Mathis

More articles in Open Access Journal of Neurology & Neurosurgery from Juniper Publishers Inc.
Bibliographic data for series maintained by Robert Thomas ().