Summary
A cavernous angioma of the right optic tract in a 35-year-old man is presented. The patient suffered from headaches and had a left homonymous visual field defect after subarachnoid haemorrhage and an intracerebral haematoma in the right temporomedial region, revealed by computed tomography (CT). Follow-up CT showed a small contrast-enhanced lesion in the right suprasellar and parasellar cistern. Angiography on three occasions did not reveal a vascular lesion. Magnetic resonance imaging was helpful both for diagnosis and planning surgical therapy. It showed typical signs of a cavernous angioma of the right optic tract; the diagnosis was confirmed by surgery and histological examination. This appears to be the first reported case of a cavernous angioma of the optic tract.
References
Bien S, Friedburg H, Harders A, Schumacher M (1986) Intracerebral cavernous angiomas in magnetic resonance imaging. Acta Radiol Diagn [Suppl] 369:79–81
Biondi A, Scotti G, Scialfa G, Landoni L (1986) Magnetic resonance imaging of cerebral cavernous angiomas. Acta Radiol Diagn [Suppl] 369:82–85
Bogren H, Svalander I, Wickbom I (1970) Angiography in intracranial cavernous hemangiomas. Acta Radiol Diagn 10:81–89
Coin CG, Coin JW, Glover MB (1977) Vascular tumors of the choroid plexus: diagnosis by computed tomography. J Comput Assist Tomogr 1:146–148
Frenkel M, Russe HP (1967) Retinal teleangiectasia associated with hypogammaglobulinaemia. Am J Ophthalmol 63:215–220
Giombini S, Morello G (1978) Cavernous angiomas of the brain. Account of fourteen personal cases and review of the literature. Acta Neurochir (Wien) 40:61–82
Gomoroi JM, Grossman RI, Goldberg HI, Hackney DB, Zimmermann RA, Bilaniuk L (1986) Occult cerebral vascular malformations: high field MR imaging. Radiology 158:707–713
Haase A, Frahm J, Matthaei D, Haenicke W, Merboldt KD (1986) FLASH imaging. Rapid NMR imaging using low flip-angle pulses. J Magn Reson 67:258–266
Harris GJ, Jakobiec FA (1979) Cavernous hemangioma of the orbit. J Neurosurg 51:219–228
Ishikawa M, Hajime H, Kozo M, Koreaki M, Yoshihisa N, Heihachiro A (1980) Computed tomography of cerebral cavernous hemangiomas. J Comput Assist Tomogr 4:587–591
Iwasa H, Indei I, Sato F (1983) Intraventricular cavernous hemangioma. Case report. J Neurosurg 59:153–157
Lemme-Plaghos L, Kucharczyck W, Brandt-Zawadzki M, Uske A, Edwards M, Norman D, Newton T (1986) MRI imaging of angiographically occult vascular malformations. AJNR 7:217–222
McCormick WF, Schochet SS (1976) Atlas of cerebrovascular disease. Saunders, Philadelphia
Savoiardo M, Strada L, Passerini A (1983) Intracranial cavernous hemangiomas: neuroradiologic review of 36 operated cases. AJNR 4:945–950
Simard JM, Garcia-Bengochea F, Ballinger WE, Mickle JP, Quisling RG (1986) Cavernous angioma: a review of 126 collected and 12 new clinical cases. J Neurosurg 18:62–172
Thron A, Voigt K (1986) Vaskuläre kraniozerebrale Erkrankungen. In: Frommhold W, Dihlman W, Stender HS, Thurn P (eds) Radiologische Diagnostik in Klinik und Praxis, vol 5, part I. Thieme, Stuttgart
Voigt K, Yasargil MG (1976) Central cavernous hemangiomas or cavernomas. Neurochirurgia (Stuttg) 19:59–68
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Zentner, J., Grodd, W. & Hassler, W. Cavernous angioma of the optic tract. J Neurol 236, 117–119 (1989). https://doi.org/10.1007/BF00314409
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00314409