Optic Nerve Vascular Compression in a Patient with a Tuberculum Sellae Meningioma

Abstract

Background . Optic nerve vascular compression in patients with suprasellar tumor is a known entity but is rarely described in the literature. Case Description . We present a unique, well-documented case of optic nerve strangulation by the A1 segment of the anterior cerebral artery in a patient with a tuberculum sellae meningioma. The patient presented with pronounced progressive visual deterioration. Following surgery, there was immediate resolution of her visual deficit. Conclusion . Vascular strangulation of the optic nerve should be considered when facing progressive and/or severe visual field deterioration in patients with tumors proximal to the optic apparatus.