Visual field deficit caused by vascular compression from a suprasellar meningioma: case report
Suprasellar meningiomas typically cause bitemporal hemianopsia by direct compression of the chiasm, its blood supply, or both. We report another mechanism for visual loss in suprasellar meningiomas, whereby compression by the suprajacent vascular complex is the offending agent. A 78-year-old woman w...
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| Veröffentlicht in: | Neurosurgery 2002-05, Vol.50 (5), p.1129-1132 |
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| creator | Bejjani, Ghassan K Cockerham, Kimberly P Kennerdell, John S Maroon, Joseph C |
| description | Suprasellar meningiomas typically cause bitemporal hemianopsia by direct compression of the chiasm, its blood supply, or both. We report another mechanism for visual loss in suprasellar meningiomas, whereby compression by the suprajacent vascular complex is the offending agent.
A 78-year-old woman with a suprasellar meningioma was diagnosed incidentally. During the follow-up period, she developed an inferior homonymous wedge defect consistent with superior compression, without any detectable radiological progression. It was decided to resect her tumor.
The patient underwent a fronto-orbital approach for tumoral excision. Intraoperatively, a groove by the anterior cerebral artery complex was found along the superior surface of the chiasm. Postoperatively, the patient's visual deficit resolved.
This case illustrates an unusual visual field deficit associated with a suprasellar meningioma. It also emphasizes the importance of frequent and careful visual field monitoring, which can precede radiological and symptomatic progression. |
| doi_str_mv | 10.1097/00006123-200205000-00033 |
| format | Article |
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A 78-year-old woman with a suprasellar meningioma was diagnosed incidentally. During the follow-up period, she developed an inferior homonymous wedge defect consistent with superior compression, without any detectable radiological progression. It was decided to resect her tumor.
The patient underwent a fronto-orbital approach for tumoral excision. Intraoperatively, a groove by the anterior cerebral artery complex was found along the superior surface of the chiasm. Postoperatively, the patient's visual deficit resolved.
This case illustrates an unusual visual field deficit associated with a suprasellar meningioma. It also emphasizes the importance of frequent and careful visual field monitoring, which can precede radiological and symptomatic progression.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1097/00006123-200205000-00033</identifier><identifier>PMID: 11950417</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Cerebral Arteries - physiopathology ; Female ; Humans ; Magnetic Resonance Imaging ; Meningeal Neoplasms - complications ; Meningeal Neoplasms - physiopathology ; Meningeal Neoplasms - surgery ; Meningioma - complications ; Meningioma - physiopathology ; Meningioma - surgery ; Nerve Compression Syndromes - diagnosis ; Nerve Compression Syndromes - etiology ; Optic Chiasm - pathology ; Sella Turcica ; Vision Disorders - etiology ; Visual Fields</subject><ispartof>Neurosurgery, 2002-05, Vol.50 (5), p.1129-1132</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-de8572d74f86c5c8b4df283a3e5f9f160337c1d38589ed4425468afced61ff243</citedby><cites>FETCH-LOGICAL-c311t-de8572d74f86c5c8b4df283a3e5f9f160337c1d38589ed4425468afced61ff243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11950417$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bejjani, Ghassan K</creatorcontrib><creatorcontrib>Cockerham, Kimberly P</creatorcontrib><creatorcontrib>Kennerdell, John S</creatorcontrib><creatorcontrib>Maroon, Joseph C</creatorcontrib><title>Visual field deficit caused by vascular compression from a suprasellar meningioma: case report</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Suprasellar meningiomas typically cause bitemporal hemianopsia by direct compression of the chiasm, its blood supply, or both. We report another mechanism for visual loss in suprasellar meningiomas, whereby compression by the suprajacent vascular complex is the offending agent.
A 78-year-old woman with a suprasellar meningioma was diagnosed incidentally. During the follow-up period, she developed an inferior homonymous wedge defect consistent with superior compression, without any detectable radiological progression. It was decided to resect her tumor.
The patient underwent a fronto-orbital approach for tumoral excision. Intraoperatively, a groove by the anterior cerebral artery complex was found along the superior surface of the chiasm. Postoperatively, the patient's visual deficit resolved.
This case illustrates an unusual visual field deficit associated with a suprasellar meningioma. It also emphasizes the importance of frequent and careful visual field monitoring, which can precede radiological and symptomatic progression.</description><subject>Aged</subject><subject>Cerebral Arteries - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Meningeal Neoplasms - complications</subject><subject>Meningeal Neoplasms - physiopathology</subject><subject>Meningeal Neoplasms - surgery</subject><subject>Meningioma - complications</subject><subject>Meningioma - physiopathology</subject><subject>Meningioma - surgery</subject><subject>Nerve Compression Syndromes - diagnosis</subject><subject>Nerve Compression Syndromes - etiology</subject><subject>Optic Chiasm - pathology</subject><subject>Sella Turcica</subject><subject>Vision Disorders - etiology</subject><subject>Visual Fields</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LxDAQhoMo7rr6FyQnb9WkSZrUm4hfsOBFxZMhm0wk0jY1aYX993bdVQeGYZh55-NBCFNyTkktL8hkFS1ZURJSEjFlxeSM7aE5FSUvOOFkH80J5apgdfU6Q0c5fxBCKy7VIZpRWgvCqZyjt5eQR9NgH6Bx2IEPNgzYmjGDw6s1_jLZjo1J2Ma2T5BziB32KbbY4Dz2yWRoNuUWutC9h9iay0mdASfoYxqO0YE3TYaTXVyg59ubp-v7Yvl493B9tSwso3QoHCghSye5V5UVVq2486VihoHwtafV9Jq01DElVA2O81LwShlvwVXU-5KzBTrbzu1T_BwhD7oN2W5O6yCOWUsqaiZZPTWqbaNNMecEXvcptCatNSV6w1b_stV_bPUP20l6utsxrlpw_8IdTPYN_LB1kQ</recordid><startdate>200205</startdate><enddate>200205</enddate><creator>Bejjani, Ghassan K</creator><creator>Cockerham, Kimberly P</creator><creator>Kennerdell, John S</creator><creator>Maroon, Joseph C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200205</creationdate><title>Visual field deficit caused by vascular compression from a suprasellar meningioma: case report</title><author>Bejjani, Ghassan K ; Cockerham, Kimberly P ; Kennerdell, John S ; Maroon, Joseph C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-de8572d74f86c5c8b4df283a3e5f9f160337c1d38589ed4425468afced61ff243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>Cerebral Arteries - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Meningeal Neoplasms - complications</topic><topic>Meningeal Neoplasms - physiopathology</topic><topic>Meningeal Neoplasms - surgery</topic><topic>Meningioma - complications</topic><topic>Meningioma - physiopathology</topic><topic>Meningioma - surgery</topic><topic>Nerve Compression Syndromes - diagnosis</topic><topic>Nerve Compression Syndromes - etiology</topic><topic>Optic Chiasm - pathology</topic><topic>Sella Turcica</topic><topic>Vision Disorders - etiology</topic><topic>Visual Fields</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bejjani, Ghassan K</creatorcontrib><creatorcontrib>Cockerham, Kimberly P</creatorcontrib><creatorcontrib>Kennerdell, John S</creatorcontrib><creatorcontrib>Maroon, Joseph C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bejjani, Ghassan K</au><au>Cockerham, Kimberly P</au><au>Kennerdell, John S</au><au>Maroon, Joseph C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual field deficit caused by vascular compression from a suprasellar meningioma: case report</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2002-05</date><risdate>2002</risdate><volume>50</volume><issue>5</issue><spage>1129</spage><epage>1132</epage><pages>1129-1132</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>Suprasellar meningiomas typically cause bitemporal hemianopsia by direct compression of the chiasm, its blood supply, or both. We report another mechanism for visual loss in suprasellar meningiomas, whereby compression by the suprajacent vascular complex is the offending agent.
A 78-year-old woman with a suprasellar meningioma was diagnosed incidentally. During the follow-up period, she developed an inferior homonymous wedge defect consistent with superior compression, without any detectable radiological progression. It was decided to resect her tumor.
The patient underwent a fronto-orbital approach for tumoral excision. Intraoperatively, a groove by the anterior cerebral artery complex was found along the superior surface of the chiasm. Postoperatively, the patient's visual deficit resolved.
This case illustrates an unusual visual field deficit associated with a suprasellar meningioma. It also emphasizes the importance of frequent and careful visual field monitoring, which can precede radiological and symptomatic progression.</abstract><cop>United States</cop><pmid>11950417</pmid><doi>10.1097/00006123-200205000-00033</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Cerebral Arteries - physiopathology Female Humans Magnetic Resonance Imaging Meningeal Neoplasms - complications Meningeal Neoplasms - physiopathology Meningeal Neoplasms - surgery Meningioma - complications Meningioma - physiopathology Meningioma - surgery Nerve Compression Syndromes - diagnosis Nerve Compression Syndromes - etiology Optic Chiasm - pathology Sella Turcica Vision Disorders - etiology Visual Fields |
| title | Visual field deficit caused by vascular compression from a suprasellar meningioma: case report |
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