Opticochiasmatic apoplexy in a five-year-old

Bret Gene Ball, Cynthia Wetmore, Caterina Giannini, Nicolas M. Wetjen, Fredric B. Meyer

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

A 5-year-old female presented to the emergency department with a 24-hour history of nausea, vomiting and mental status changes. Imaging demonstrated hemorrhage from a suprasellar mass consistent with an optic nerve glioma. The patient was taken to surgery for an open biopsy and hematoma evacuation. Pathology revealed a grade 3 fibrillary astrocytoma. She was subsequently treated with carboplatin and vincristine and is now 2 years out without evidence of recurrence. Apoplexy is a rare presentation for an optic pathway glioma. To the authors' knowledge, this is the first reported case in the pediatric population. Clinical presentation appears similar to the symptoms observed in pituitary apoplexy. Timely surgery should be directed at obtaining diagnostic tissue, prevention of long-term nervous system damage and evacuation of the hematoma where feasible.

Original languageEnglish (US)
Pages (from-to)279-283
Number of pages5
JournalPediatric Neurosurgery
Volume47
Issue number4
DOIs
StatePublished - May 1 2012

Keywords

  • Apoplexy
  • Astrocytoma
  • Intracerebral hemorrhage
  • Optic glioma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

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    Ball, B. G., Wetmore, C., Giannini, C., Wetjen, N. M., & Meyer, F. B. (2012). Opticochiasmatic apoplexy in a five-year-old. Pediatric Neurosurgery, 47(4), 279-283. https://doi.org/10.1159/000334309