Cavernous Malformation of the Optic Nerve and Chiasm: Prompt Suspicion and Surgery Matter

Maja Kostic, MD, PhD, Prem S. Subramanian, MD, PhD, Steven F. Falcone, MD, MBA, Seif Tarek El-Swaify, MD, Samir Sur, MD, Smiljana Spasic, MD, Neil R. Miller, MD, Jacques J. Morcos, MD, Byron L. Lam, MD

Cavernous Malformation of the Optic Nerve and Chiasm: Prompt Suspicion and Surgery Matter

Authors: MD, PhD, Prem S. Subramanian, MD, PhD, Steven F. Falcone, MD, MBA, Seif Tarek El-Swaify, MD, Samir Sur, MD, Smiljana Spasic, MD, Neil R. Miller, MD, Jacques J. Morcos, MD, Byron L. Lam, MD Maja Kostic
Publication date: 1 March 2022
Publisher: Lippincott, Williams & Wilkins

Abstract

Cavernous malformations (CMs) of the optic nerve and chiasm are extremely rare, accounting for less than 1% of all intracranial CMs. Acute, subacute, or progressive visual loss from CM may occur with or without hemorrhage. Prompt surgical excision of the CM offers the best hope to improve or stabilize vision. Given its rarity, optic nerve and chiasm CMs may not be readily suspected. We provide 3 cases of optic nerve and chiasm CM, highlighting key neuroimaging features and the importance of expedited interventio

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