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Intrachiasmal hemorrhage

A cause of delayed post-traumatic blindness

Department of Neurology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC (Drs. Crowe, Nickles, and Troost)
Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC (Dr. Elster).

A 49-year-old man presented with blurred vision 9 days following frontal head trauma. Visual loss progressed to bilateral blindness. Magnetic resonance imaging revealed hemorrhage and swelling within the optic nerves and chiasm. Indirect trauma to the anterior visual pathways may cause delayed blindness due to hemorrhage and edema within these structures.

Address correspondence and reprint requests to Dr. Troost, Department of Neurology, Bowman Gray School of Medicine, 300 South Hawthorne Road, Winston-Salem, NC 27103.

Received December 2, 1988 Accepted for publication in final form December 30,1988.

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