UDK: 617.731-089.85
P.I. Kushniruk1,2, V.G. Medvedev1,2, K.G. Filatov2, A.E. Busygin2, V.E. Lomakina1,2
1ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации; 2ГБУЗ «Волгоградская областная клиническая больница №1» КЗ ВО
This article discusses a clinical case intrachiasmal hemorrhage. Patient V., 51 y.o. entered the hospital with complaints of a lack of vision in the right eye, a severe deterioration in the vision in the left eye and a diffuse headache. The examination revealed optic nerve chiasm change having the features of hemorrhage in the subacute phase. During the operation, pay attention significantly increased and gray-blue color optic chiasm and the initial sections of the right optic tract. When dissecting the pial membrane of the chiasm at a depth of 1 mm, a dense cystic formation was found. The masses corresponding to the hematoma in the organization stage are removed from the cavity of the cystic formation. In the early postoperative period, the patient noted an improvement in vision in the left eye. The described clinical case demonstrates the possibility of early decompression of optic and the importance of radical removal of chiasmatic hematomas without significant deterioration of the neurological and visual deficit in the postoperative period.
chiasma, hemorrhage, chiasm apoplexy, intrachiasmal hemorrhage.
Кушнирук Петр Иванович – к. м. н., доцент кафедры хирургических болезней и нейрохирургии ФУВ, главный внештатный нейрохирург Комитета здравоохранения Администрации Волгоградской области, главный внештатный нейрохирург Южного федерального округа, e-mail: p