RECURRENT CHIASMAL APOPLEXY DUE TO CAVERNOUS MALFORMATION

We report a case of chiasmal apoplexy due to a cavernous malformation (CM). Surgery was delayed because of the patient's advanced pregnancy, and nearly complete recovery of vision occurred spontaneously. Recurr ent hemorrhage prompted surgical extirpation. The patient was left wit h a residual deficit. The literature pertaining to chiasmal apoplexy a nd CMs is reviewed. Nearly half of the reported cases of chiasmal CM h ad recurrent hemorrhages. The co-occurrence of hemorrhage from CM and pregnancy is too cause and effect.