Cavernous malformation of the intracranial optic nerve with operative video and review of the literature.
Publication/Presentation Date
12-17-2020
Abstract
Optic pathway cavernous malformations represent less than 1% of all central nervous system cavernomas. They can lead to visual loss with indeterminate speed, and therefore, the timing of intervention is controversial. We present a patient with an optic nerve cavernoma, which was discovered incidentally 3 years before the onset of visual symptoms. The evolution of her symptoms, visual function and radiographic findings are reported in detail. The cavernoma was eventually removed via a transciliary orbitocranial keyhole approach with the goal to protect the optic chiasm from progressive involvement. The function in the affected optic nerve was not salvageable. This is the second reported case of a cavernoma selectively involving the intracranial portion of the optic nerve. The debate on the timing of intervention is highlighted with reference to the natural history of these rare lesions.
Volume
13
Issue
12
ISSN
1757-790X
Published In/Presented At
Stellon MA, Elliott RJ, Taheri MR, Jean WC. Cavernous malformation of the intracranial optic nerve with operative video and review of the literature. BMJ Case Rep. 2020 Dec 17;13(12):e236550. doi: 10.1136/bcr-2020-236550. PMID: 33334745; PMCID: PMC7747611.
Disciplines
Medicine and Health Sciences
PubMedID
33334745
Department(s)
Department of Surgery
Document Type
Article