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[Nerve fibre bundle defects in a pre-chiasmal lesion].
- Source :
-
Klinische Monatsblatter fur Augenheilkunde [Klin Monbl Augenheilkd] 2007 Feb; Vol. 224 (2), pp. 146-9. - Publication Year :
- 2007
-
Abstract
- Background: Prechiasmal lesions of the visual pathway are produced by visual field defects that either affect only one eye or, if both eyes are affected, they are clearly different. Typically, the defects respect the vertical meridian. This report of a case shows that the classical nerve fibre bundle defect must be taken into consideration for differential diagnosis.<br />Case Report: In a 67-year-old patient, a meningeoma of the sphenoid was diagnosed that had spread into the optic canal. Examination of the visual field showed an inferior altitudinal nerve fibre bundle defect.<br />Conclusions: Apparently the retinal pattern of nerve fibres remains intact even when approaching the optic chiasm. Nerve fibre bundle defects are therefore sometimes found in prechiasmal lesions and should be considered for differential diagnosis (e. g., in the case of a suspected low tension glaucoma).
- Subjects :
- Aged
Diagnosis, Differential
Humans
Magnetic Resonance Imaging
Male
Meningeal Neoplasms physiopathology
Meningioma diagnosis
Meningioma physiopathology
Neoplasm Invasiveness
Optic Nerve physiopathology
Optic Nerve Neoplasms diagnosis
Optic Nerve Neoplasms physiopathology
Paranasal Sinus Neoplasms physiopathology
Meningeal Neoplasms diagnosis
Meningioma secondary
Nerve Fibers physiology
Optic Chiasm physiopathology
Optic Nerve Neoplasms secondary
Paranasal Sinus Neoplasms diagnosis
Sphenoid Sinus
Visual Fields physiology
Subjects
Details
- Language :
- German
- ISSN :
- 0023-2165
- Volume :
- 224
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Klinische Monatsblatter fur Augenheilkunde
- Publication Type :
- Academic Journal
- Accession number :
- 17309013
- Full Text :
- https://doi.org/10.1055/s-2006-927321