Journal of Volgograd State Medical UniversityJournal of Volgograd State Medical University1994-94801994-9499Volgograd State Medical University11931910.19163/1994-9480-2018-4(68)-82-86Research ArticleSPONTANEOUS INTRACHIASMAL HEMORRHAGE: CLINICAL CASEKushnirukP. Ipkushniruk@mail.ruMedvedevV. G-FilatovK. G-BusyginA. E-LomakinaV. E-FSBEI HE «Volgograd State Medical University» of Public Health Ministry of the Russian FederationSBHI «Volgograd regional clinical hospital № 1» of Health Committee of the Volgograd region15042018154828618122022Copyright © 2018, Kushniruk P.I., Medvedev V.G., Filatov K.G., Busygin A.E., Lomakina V.E.2018This article discusses a clinical case intrachiasmal hemorrhage. Patient V., 51 yo. 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.chiasmahemorrhagechiasm apoplexyintrachiasmal hemorrhageхиазмакровоизлияниеапоплексия хиазмыинтрахиазмальное кровоизлияние[Воробьев А.А., Тарба А.А., Михин И.В., Жолудь А.Н. / Vorob'ev A.A., Tarba A.A., Mihin I.V., ZHolud' A.N. Алгоритмы оперативных доступов / Algoritmy operativnyh dostupov [Operational Access Algorithms]. - СПб: Изд-во «ЭЛБИ-СПб», 2015. - 272 с.][Arrese I., Sarabia R., Zamora T. Chiasmal haemorrhage secondary to glioma with unusual MRI appearance // Neurocirugia (Astur). - 2014. - Vol. 25 (3). - P. 136-139.][Crocker M., DeSouza R., King A., Connor S., Thomas N. Cavernous Hemangioma of the Optic Chiasm: A Surgical Review // Skull Base. - 2008. - Vol. 18 (3). - P. 201-212.][Hassan A., Crompton J.L., Sandhu A. Traumatic chiasmal syndrome: a series of 19 patients // Clin. Exp. Ophthalmol. - 2002. - Vol. 30 (4). - P. 273-280.][Lavin P.J., McCrary J.A. 3rd, Roessmann U., Ellenberger C. Jr. Chiasmal apoplexy: hemorrhage from a cryptic vascular malformation in the optic chiasm // Neurology. -1984. - Vol. 4 (8). - P. 1007-1011.][Morais N., Mascarenhas A.L., Soares-Fernandes J.P., Moreira da Costa J.A.Cranial nerve cavernous malformations causing trigeminal neuralgia and chiasmal apoplexy: Report of 2 cases and review of the literature // Surg Neurol Int. - 2012. - Vol. 3. - P. 105.][Pakzaban P., Westmark K., Westmark R. Chiasmal apoplexy due to hemorrhage from a pituitary adenoma into the optic chiasm: case report // Neurosurgery. - 2000. -Vol. 46 (6). - P. 1511-1513.][Ozer E., Kalemci O., Yucesoy K., Canda S. Optochiasmatic cavernous angioma: Unexpected diagnosis.Case report // Neurol. Med. Chir. (Tokyo). - 2007. -Vol. 47. - P. 128-133.][Reilly P.L., Oatey P.E. Optic nerve apoplexy: report of two cases // J. Neurosurg. - 1986. - Vol. 64. - P. 313-316.][Trentadue M., Mucell R.P., Piovan E., Pizzini F.B. Incidental optochiasmatic cavernoma: Case report of an unusual finding on 3 Tesla MRI // Neuroradiol J. - 2016. -Vol. 29(4). - P. 289-294.][Xianbin N., Kan Xu, Qi Luo, Limei Qu, Jinlu Yu. Uncommon cavernous malformation of the optic chiasm: a case report // Eur. J. Med. Res. - 2012. - Vol. 17 (1). -P. 24.]