Injury to the Optico-Chiasmal Junction a Case Report

Hughes, E. B. C.

doi:10.1136/bjo.27.8.367

Cited by 7 publications

(2 citation statements)

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“…Out of 10 cases listed in Table 1 , six cases did not show any improvement in the visual fields. However, some cases might show improvement in the visual acuity and visual field, as seen in three of the case reports 2 , 4 , 9 and in the index case. Also, Anderson et al 18 reported a case which showed improvement in the visual field.…”

Section: Discussionmentioning

confidence: 92%

“… Hughes et al 3 45 M Road accident BE 6/9 Complete bitemporal hemianopia Bilateral anosmia, complete facial paralysis on the right with loss of taste and mild left hemiparesis X- ray : Fracture of frontal bone No improvement 4. Hughes et al 4 31 M Head on motor crash RE 6/18, LE 1/60 RE – upper temporal quadrant defect LE – upper nasal island of vision only 3 rd nerve paresis X- ray : Fissured fracture in the left frontal bone, traversing the left frontal sinus, also involving left anterior and middle fossa Significant improvement 5. Logan et al 5 33 M Road accident RE 6/9, LE Counting fingers Bitemporal hemianopia CSF rhinorrhea, bilateral anosmia, LE limitation of ocular movements except lateral movements Multiple frontal fracture, anterior fossa fracture involving sphenoid and ethmoid air sinus No improvement 6.…”

Section: Resultsmentioning

confidence: 99%

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Traumatic chiasmal syndrome: A meta-analysis

Mookan

Thomas

Harwani

2018

American Journal of Ophthalmology Case Reports

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PurposeTo report a case presenting with bitemporal hemianopia due to traumatic chiasmal syndrome after head injury, and to compare the findings with individual case reports published in the literature.MethodsA detailed search was made in PubMed, MedIND, Taylor and Francis online and Wiley online library databases for individual case reports of traumatic chiasmal syndrome. All the case reports were read in full and the findings summarized in a table, which included details of the case who presented with bitemporal hemianopia as an index case.ResultsAll published cases of traumatic chiasmal syndrome appear to share some common features, such as injury to the frontal bone and fracture of the anterior skull base. Bitemporal hemianopia and visual acuity have a variable presentation, and do not appear to correlate with severity of injury. Isolated bitemporal hemianopia is rare and clinical improvement may or may not occur.Conclusions and importanceTraumatic chiasmal syndrome should be considered as a differential diagnosis in patients presenting with bitemporal hemianopia after head injury causing frontal and anterior skull base fracture.

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Section: Discussionmentioning

confidence: 92%