Compression of the prechiasmatic optic nerve produces a junctional scotoma

被引：15

作者：

Karanjia, N

Jacobson, DM

机构：

[1] Marshfield Clin, Dept Neurol, Marshfield, WI 54449 USA

[2] Harvard Univ, Boston, MA 02115 USA

[3] Marshfield Clin, Dept Ophthalmol, Marshfield, WI 54449 USA

来源：

AMERICAN JOURNAL OF OPHTHALMOLOGY | 1999年 / 128卷 / 02期

关键词：

D O I：

10.1016/S0002-9394(99)00084-7

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

PURPOSE: To demonstrate the clinical-radiologic correlation between a junctional scotoma and a focal lesion compressing the prechiasmatic segment of the distal optic nerve. METHODS: Case report involving a man with a pituitary adenoma. Clinical correlation was determined by reviewing visual field evaluations and magnetic resonance images, RESULTS: The tumor compressed the prechiasmatic segment of the distal optic nerve bur not the optic chiasm, producing a junctional scotoma documented by Goldmann and automated perimetry, The visual field defect resolved after neurosurgical decompression of the anterior visual pathway, CONCLUSIONS: A junctional scotoma can be caused by focal as well as large and diffuse lesions injuring the anterior visual pathway, specifically at: the junction of the optic nerve and chiasm, This finding supports the existence of Wilbrand fibers. (C) 1999 by Elsevier Science Inc, All rights reserved.

引用

页码：256 / 258

页数：3