Chiasmal syndrome: causes
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Chiasmal syndrome: causes. Pituitary adenoma: this is the most frequent cause, Posterior fossa tumours, Meningioma. Fully referenced neurology checklist.
Tumours
- Pituitary adenoma: this is the most frequent cause
- Posterior fossa tumours
- Meningioma
- Astrocytoma
- Oligodendroglioma
- Nasopharyngeal carcinoma
- Glioblastoma multiforme
- Optic chiasma de novo glioma
- Hypophyseal tumours
- Uveal melanoma chiasmal extension
- Lymphoma
- Ganglioglioma
- Primary chiasmal germinoma
Other structural causes
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Traumatic optic chiasmopathy
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Vascular
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Inflammatory
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Infectious
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Hereditary optic neuropathies
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Drug-induced
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Iatrogenic
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Other causes
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References
- Mejico LJ, Miller NR, Dong LM. Clinical features associated with lesions other than pituitary adenoma in patients with an optic chiasmal syndrome. Am J Ophthalmol 2004; 137:908-913.
- Astorga-Carballo A, Serna-Ojeda JC, Camargo-Suarez MF. Chiasmal syndrome: clinical characteristics in patients attending an ophthalmological center. Saudi J Ophthalmol 2017; 31:229-233.
- Wadud S.A., Ahmed S., Choudhury N., Chowdhury D. Evaluation of ophthalmic manifestations in patients with intracranial tumours. Mymensingh Med J; 2014; 23:268-271.
- Karimaghaei C, Pakravan M, Charoenkijkajorn C, Lee VA, Lee AG. Visual loss as the presenting manifestation of leptomeningeal spread of glioblastoma multiforme to the optic chiasm. J Neuroophthalmol 2022 (Online ahead of print).
- Dinh TT, Wang YY, Rosenfeld JV, Cherny M. Glioblastoma of the optic chiasm. J Clin Neurosci 2007; 14:502-505.
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