Severe optochiasmatic arachnoiditis after rupture of an internal carotid artery aneurysm

Ramina, Ricardo; Arruda, Walter O.; Prestes, Antônio C. F.; Parolim, Mônica K. F.

doi:10.1590/S0004-282X1989000200011

Abstracts

The case of a 24-year-old man with progressive visual loss due to optochiasmatic arachnoiditis is presented. The cause of the arachnoiditis was subarachnoidal bleeding due to rupture of an internal carotid artery aneurysm. The aneurysm was clipped 5 years after the first episode of bleeding. The diagnosis of optochiasmatic arachnoiditis was confirmed during the operation. This case, is presented in order to discuss the causes, the symptoms and the therapeutical possibilities of this rare condition.

Relato do caso de paciente masculino com 24 anos de idade, com perda progressiva da visão devida a aracnoidite optoquiasmática. A causa da aracnoidite foi ruptura de aneurisma da parede dorsal da artéria carótida interna direita, com hemorragia subaracnóidea. O aneurisma foi clipado 5 anos após o primeiro episódio de sangramento. O diagnóstico de aracnoidite optoquiasmática foi confirmado durante cirurgia. A finalidade do relato é rever e discutir as causas, o quadro clínico o as possibilidades terapêuticas dessa condição rara.

Severe optochiasmatic arachnoiditis after rupture of an internal carotid artery aneurysm

Aracnoidite optoquiasmática grave após ruptura de aneurisma da artéria carótida interna

Ricardo Ramina^I; Walter O. Arruda^II; Antônio C. F. Prestes^I; Mônica K. F. Parolim^III

^IUnidade de Ciências Neurológicas, Hospital São Vicente: Neurocirurgião

^IIUnidade de Ciências Neurológicas, Hospital São Vicente: Neurologista, bolsista do CNPq

^IIIUnidade de Ciências Neurológicas, Hospital São Vicente: Neurologista

SUMMARY

The case of a 24-year-old man with progressive visual loss due to optochiasmatic arachnoiditis is presented. The cause of the arachnoiditis was subarachnoidal bleeding due to rupture of an internal carotid artery aneurysm. The aneurysm was clipped 5 years after the first episode of bleeding. The diagnosis of optochiasmatic arachnoiditis was confirmed during the operation. This case, is presented in order to discuss the causes, the symptoms and the therapeutical possibilities of this rare condition.

RESUMO

Relato do caso de paciente masculino com 24 anos de idade, com perda progressiva da visão devida a aracnoidite optoquiasmática. A causa da aracnoidite foi ruptura de aneurisma da parede dorsal da artéria carótida interna direita, com hemorragia subaracnóidea. O aneurisma foi clipado 5 anos após o primeiro episódio de sangramento. O diagnóstico de aracnoidite optoquiasmática foi confirmado durante cirurgia. A finalidade do relato é rever e discutir as causas, o quadro clínico o as possibilidades terapêuticas dessa condição rara.

Full text available only in PDF format.

Texto completo disponível apenas em PDF.

Rua Gonçalves Dias 713 - 80240 Curitiba PR - Brasil.

1. Bodechtel G - Diagnóstico Diferencial de las Enfermedades Neurológicas. Paz Montalvo, Madrid, 1967, pg 646.
2. Coyle JT - Chiasmatic arachnoiditis. Am J Ophthalmol 68:345, 1969.
3. Gupta SR, Biller J, Frenkel M, Yarzagaray L - Forster-Kennedy syndrome due to optochiasmatic arachnoiditis. Surg Neurol 20: 216, 1983.
4. Hartmann E - Optochiasmatic arachnoiditis. Arch Ophthalmol 33:68, 1945.
5. Iraci G, Galliyioni F, Genora M, Secchi AG, Fiore D, Zarspieri P, Rigobello L. Tomazzoli L, Pardatsches K, Marin G, Scattolin R - Optochiasmatic arachnoiditis: a review of traditional neuroradiological diagnosis (82 cases 1951-1976). Acta Neurochir (Wien) 48: 151, 1979.
6. Lavin PJM, McCrary JA III, Roessmann TJ, Ellenberger C Jr - Chiasmal apoplexy: hemorrhage from a cryptic vascular malformation in the optic chiasm. Neurology 34: 1007, 1984.
7. Marcus AO, Demakas JJ, Ross A, Duick DS, Crowell RM - Optochiasmatic arachnoiditis with treatment by surgical lysis of adhesions, corticosteroids and cyclophosphamide. Neurosurgery 19: 101, 1986.
8. McFadzean RM, Gowan ME - Optochiasmal arachnoiditis after rupture of an anterior communicating artery aneurysm. Trans Ophthalmol Soc UK 98: 490, 1978.
9. Naragawa F, Shigeaki K, Tshiti T, Sugita K - Aneurysms protuding from the dorsal wall of the internal carotid artery. J Neurosurg 65: 303, 1986.
10. Navarro IM, Peralta VHR, Leon JAM, Varela EAS, Cabrera JMS - Tuberculous optochiasmatic arachnoiditis. Neurosurgery 9: 654, 1981.
11. Ohara H, Sakamoto T, Suzuki J - Sclerotic cerebral aneurysms. In: Suzuki J (ed): Cerebral Aneurysms. Neuron, Tokyo, 1979, pg 673.
12. Oliver M, Beller AJ, Behar A - Chiasmal arachnoiditis as a manifestation of generalized arachnoiditis in systemic vascular disease. Br J Ophthalmol 52: 227, 1968.
13. Schlernitzaner D, Hodges FJ III, Bagan M - Tuberculoma of the left optic nerve and chiasm. Arch Ophthalmol 85: 75, 1971.
14. Scott RM, Sonntag VKH, Wilcox LM, Adelman LS, Rockel TH - Visual loss from optochiasmatic arachnoiditis after tuberculous meningitis. J Neurosurg 46: 524, 1977.
15. Sotelo J, Cuerrero V, Rubio F - Neurocysticercosis: a new classification based on active and inactive forms. Arch Intern Med 145:442, 1985.
16. Torrealba G, Del Villar S, Tagle. P, Arriagada P, Kase CS - Cysticercosis of the central nervous system: clinical and therapeutic considerations. J Neurol Neurosurg Psychiat 47: 784, 1984.
17. Vail D - Optochiasmatic arachnoiditis. Arch Ophthalmol 20: 384, 1938.
18. Walsh FB, Hoyt WF - Clinical Neuro-Ophthalmology. Williams and Wilkins, Baltimore, 1969.
19. Yamuki T, Odake G, Horikawa Y - A case of binasal quadrantanopsia due to optochiasmatic arachnoiditis. No Shinkei Geka 6: 393, 1978.
20. Yasargil MG - Microneurosurgery, chap 2: Clinical considerations, surgery of intracranial aneurysms and results. Georg Thieme, Stuttgart, 1984, pg 33.

Publication Dates

Publication in this collection
06 June 2011
Date of issue
June 1989

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Bodechtel G - Diagnóstico Diferencial de las Enfermedades Neurológicas. Paz Montalvo, Madrid, 1967, pg 646.

[2] 2. Coyle JT - Chiasmatic arachnoiditis. Am J Ophthalmol 68:345, 1969.

[3] 3. Gupta SR, Biller J, Frenkel M, Yarzagaray L - Forster-Kennedy syndrome due to optochiasmatic arachnoiditis. Surg Neurol 20: 216, 1983.

[4] 4. Hartmann E - Optochiasmatic arachnoiditis. Arch Ophthalmol 33:68, 1945.

[5] 5. Iraci G, Galliyioni F, Genora M, Secchi AG, Fiore D, Zarspieri P, Rigobello L. Tomazzoli L, Pardatsches K, Marin G, Scattolin R - Optochiasmatic arachnoiditis: a review of traditional neuroradiological diagnosis (82 cases 1951-1976). Acta Neurochir (Wien) 48: 151, 1979.

[6] 6. Lavin PJM, McCrary JA III, Roessmann TJ, Ellenberger C Jr - Chiasmal apoplexy: hemorrhage from a cryptic vascular malformation in the optic chiasm. Neurology 34: 1007, 1984.

[7] 7. Marcus AO, Demakas JJ, Ross A, Duick DS, Crowell RM - Optochiasmatic arachnoiditis with treatment by surgical lysis of adhesions, corticosteroids and cyclophosphamide. Neurosurgery 19: 101, 1986.

[8] 8. McFadzean RM, Gowan ME - Optochiasmal arachnoiditis after rupture of an anterior communicating artery aneurysm. Trans Ophthalmol Soc UK 98: 490, 1978.

[9] 9. Naragawa F, Shigeaki K, Tshiti T, Sugita K - Aneurysms protuding from the dorsal wall of the internal carotid artery. J Neurosurg 65: 303, 1986.

[10] 10. Navarro IM, Peralta VHR, Leon JAM, Varela EAS, Cabrera JMS - Tuberculous optochiasmatic arachnoiditis. Neurosurgery 9: 654, 1981.

[11] 11. Ohara H, Sakamoto T, Suzuki J - Sclerotic cerebral aneurysms. In: Suzuki J (ed): Cerebral Aneurysms. Neuron, Tokyo, 1979, pg 673.

[12] 12. Oliver M, Beller AJ, Behar A - Chiasmal arachnoiditis as a manifestation of generalized arachnoiditis in systemic vascular disease. Br J Ophthalmol 52: 227, 1968.

[13] 13. Schlernitzaner D, Hodges FJ III, Bagan M - Tuberculoma of the left optic nerve and chiasm. Arch Ophthalmol 85: 75, 1971.

[14] 14. Scott RM, Sonntag VKH, Wilcox LM, Adelman LS, Rockel TH - Visual loss from optochiasmatic arachnoiditis after tuberculous meningitis. J Neurosurg 46: 524, 1977.

[15] 15. Sotelo J, Cuerrero V, Rubio F - Neurocysticercosis: a new classification based on active and inactive forms. Arch Intern Med 145:442, 1985.

[16] 16. Torrealba G, Del Villar S, Tagle. P, Arriagada P, Kase CS - Cysticercosis of the central nervous system: clinical and therapeutic considerations. J Neurol Neurosurg Psychiat 47: 784, 1984.

[17] 17. Vail D - Optochiasmatic arachnoiditis. Arch Ophthalmol 20: 384, 1938.

[18] 18. Walsh FB, Hoyt WF - Clinical Neuro-Ophthalmology. Williams and Wilkins, Baltimore, 1969.

[19] 19. Yamuki T, Odake G, Horikawa Y - A case of binasal quadrantanopsia due to optochiasmatic arachnoiditis. No Shinkei Geka 6: 393, 1978.

[20] 20. Yasargil MG - Microneurosurgery, chap 2: Clinical considerations, surgery of intracranial aneurysms and results. Georg Thieme, Stuttgart, 1984, pg 33.