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Case Reports in Ophthalmological Medicine
Volume 2015, Article ID 681632, 3 pages
http://dx.doi.org/10.1155/2015/681632
Case Report

Optic Nerve Vascular Compression in a Patient with a Tuberculum Sellae Meningioma

1Department of Neurosurgery, Hadassah-Hebrew University Medical Center, 91120 Jerusalem, Israel
2Department of Ophtalmology, Hadassah-Hebrew University Medical Center, 91120 Jerusalem, Israel

Received 27 October 2014; Accepted 6 January 2015

Academic Editor: Alexander A. Bialasiewicz

Copyright © 2015 Cezar José Mizrahi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Optic nerve vascular compression in patients with suprasellar tumor is a known entity but is rarely described in the literature. Case Description. We present a unique, well-documented case of optic nerve strangulation by the A1 segment of the anterior cerebral artery in a patient with a tuberculum sellae meningioma. The patient presented with pronounced progressive visual deterioration. Following surgery, there was immediate resolution of her visual deficit. Conclusion. Vascular strangulation of the optic nerve should be considered when facing progressive and/or severe visual field deterioration in patients with tumors proximal to the optic apparatus.