Document Detail


Visual field deficit due to downward displacement of optic chiasm.
MedLine Citation:
PMID:  19377847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Visual disturbance in hydrocephalus is typically due to raised intracranial pressure. We describe a patient who presented with marked loss of peripheral visual fields, but without features suggestive of raised intracranial pressure. MR scan showed an enlarged third ventricle and a downward displacement of the optic chiasm, Chiari II malformation. These radiological changes and the visual field deficits reversed after endoscopic third ventriculostomy and foramen magnum decompression. These observations support the view that the treatment of the hydrocephalus in such patients can help to reverse the change in the position of the optic chiasm and the visual field deficits.
Authors:
Daniel Holsgrove; Paul Leach; Amit Herwadkar; Kanna K Gnanalingham
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-04-18
Journal Detail:
Title:  Acta neurochirurgica     Volume:  151     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-10-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  995-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Greater Manchester Neurosciences Centre, Hope Hospital, Manchester, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arnold-Chiari Malformation / etiology,  pathology,  physiopathology
Craniotomy
Decompression, Surgical
Encephalocele / etiology,  pathology,  physiopathology
Female
Foramen Magnum / surgery
Humans
Hydrocephalus / complications*,  pathology*,  physiopathology
Magnetic Resonance Imaging
Optic Chiasm / pathology*,  physiopathology
Third Ventricle / pathology*,  physiopathology
Treatment Outcome
Ventriculostomy
Vision, Low / etiology*,  pathology*,  physiopathology
Visual Fields / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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