Publication
Title
Microvascular decompression of the optic nerve for paroxysmal phosphenes and visual field deficit
Author
Abstract
BACKGROUND: Microvascular decompression surgery is standard neurosurgical practice for treating trigeminal neuralgia and hemifacial spasm. Most other cranial nerves have been decompressed for paroxysmal intermittent hyperactivity of the affected cranial nerve or in very long-standing compressions to treat cranial nerve hypofunctioning. CASE DESCRIPTION: We describe a case of intermittent paroxysmal unilateral phosphenes (i.e., light flashes) associated with worsening visual field defects. Magnetic resonance imaging showed a sandwiched optic nerve/chiasm between an inferior compression of the internal carotid artery and a superior compression of the anterior communicating artery. The patient was successfully treated by microvascular decompression and anterior clinoidectomy plus optic canal unroofing. CONCLUSIONS: This case report adds to the few previous case reports combining 2 previously described techniques (i.e., microvascular decompression and anterior clinoidectomy plus optic canal unroofing).
Language
English
Source (journal)
World neurosurgery
Publication
2016
ISSN
1878-8750
Volume/pages
85(2016), 5 p.
Article Reference
UNSP 367.e5
ISI
000368229700066
Medium
E-only publicatie
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 10.03.2016
Last edited 09.06.2017
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