Bitemporal hemianopia: Difference between revisions

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|'''Drug Side Effect'''
|'''Drug Side Effect'''
| bgcolor="Beige" |[[Chloroquine retinopathy]]<ref name="GoldhammerSmith1974">{{cite journal|last1=Goldhammer|first1=Y.|last2=Smith|first2=J. L.|title=Bitemporal hemianopia in chloroquine retinopathy|journal=Neurology|volume=24|issue=12|year=1974|pages=1135–1135|issn=0028-3878|doi=10.1212/WNL.24.12.1135}}</ref>, Ethambutol toxicity<ref name="pmid24094504">{{cite journal| author=Boulanger Scemama E, Touitou V, Le Hoang P| title=[Bitemporal hemianopia as presenting sign of severe ethambutol toxicity]. | journal=J Fr Ophtalmol | year= 2013 | volume= 36 | issue= 9 | pages= e163-7 | pmid=24094504 | doi=10.1016/j.jfo.2012.12.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24094504  }}</ref>
| bgcolor="Beige" |[[Chloroquine retinopathy]]<ref name="GoldhammerSmith1974">{{cite journal|last1=Goldhammer|first1=Y.|last2=Smith|first2=J. L.|title=Bitemporal hemianopia in chloroquine retinopathy|journal=Neurology|volume=24|issue=12|year=1974|pages=1135–1135|issn=0028-3878|doi=10.1212/WNL.24.12.1135}}</ref>, [[Ethambutol]] [[toxicity]]<ref name="pmid24094504">{{cite journal| author=Boulanger Scemama E, Touitou V, Le Hoang P| title=[Bitemporal hemianopia as presenting sign of severe ethambutol toxicity]. | journal=J Fr Ophtalmol | year= 2013 | volume= 36 | issue= 9 | pages= e163-7 | pmid=24094504 | doi=10.1016/j.jfo.2012.12.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24094504  }}</ref>
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|'''Neurologic'''
|'''Neurologic'''
| bgcolor="Beige" |[[Craniopharyngioma]], [[Aneurysm of anterior communicating artery]]<ref name="pmid26539276">{{cite journal| author=Seung WB, Kim DY, Park YS| title=A Large Ruptured Anterior Communicating Artery Aneurysm Presenting with Bitemporal Hemianopsia. | journal=J Korean Neurosurg Soc | year= 2015 | volume= 58 | issue= 3 | pages= 291-3 | pmid=26539276 | doi=10.3340/jkns.2015.58.3.291 | pmc=4630364 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26539276  }}</ref>, [[Intracranial vascular loop]], [[Meningioma]]<ref name="pmid11950417">{{cite journal| author=Bejjani GK, Cockerham KP, Kennerdell JS, Maroon JC| title=Visual field deficit caused by vascular compression from a suprasellar meningioma: case report. | journal=Neurosurgery | year= 2002 | volume= 50 | issue= 5 | pages= 1129-31; discussion 1131-2 | pmid=11950417 | doi=10.1097/00006123-200205000-00033 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11950417  }}</ref>, [[Enlarged third ventricle]]<ref name="OsherCorbett1978">{{cite journal|last1=Osher|first1=R. H.|last2=Corbett|first2=J. J.|last3=Schatz|first3=N. J.|last4=Savino|first4=P. J.|last5=Orr|first5=L. S.|title=Neuro-ophthalmological complications of enlargement of the third ventricle.|journal=British Journal of Ophthalmology|volume=62|issue=8|year=1978|pages=536–542|issn=0007-1161|doi=10.1136/bjo.62.8.536}}</ref>, [[Glioma of third ventricle]]<ref name="pmid26668411">{{cite journal| author=Thavaratnam LK, Loy ST, Gupta A, Ng I, Cullen JF| title=Chordoid glioma. | journal=Singapore Med J | year= 2015 | volume= 56 | issue= 11 | pages= 641-3 | pmid=26668411 | doi=10.11622/smedj.2015175 | pmc=4656874 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26668411  }}</ref>, [[Chronic chiasmal arachnoiditis]]<ref name="pmid13618533">{{cite journal| author=GIBBS DC| title=Chiasmal arachnoiditis. | journal=Br J Ophthalmol | year= 1959 | volume= 43 | issue= 1 | pages= 52-6 | pmid=13618533 | doi=10.1136/bjo.43.1.52 | pmc=512211 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13618533  }}</ref>, [[Suprasellar tumors|Suprasellar tumors<ref name="pmid18170220">{{cite journal| author=Lodge WO| title=BITEMPORAL HEMIANOPIA. | journal=Br J Ophthalmol | year= 1946 | volume= 30 | issue= 5 | pages= 276-81 | pmid=18170220 | doi= | pmc=510604 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18170220  }}</ref>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]], [[Adamantinoma of sella turcica]]<ref name="pmid18170220" />, [[Optic neuropathy|Optic neuropathy<ref name="pmid24094504" />]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]],  [[Traumatic chiasmal syndrome]]<ref name="Yazici2015">{{cite journal|last1=Yazici|first1=Bulent|title=Isolated Bitemporal Hemianopsia Due to Traumatic Chiasmal Syndrome|journal=Turkish Journal of Trauma and Emergency Surgery|year=2015|issn=1306696X|doi=10.5505/tjtes.2015.90540}}</ref>, [[Dolichoectasia of internal carotid arteries]]<ref name="pmid2139057">{{cite journal| author=Slavin ML| title=Bitemporal hemianopia associated with dolichoectasia of the intracranial carotid arteries. | journal=J Clin Neuroophthalmol | year= 1990 | volume= 10 | issue= 1 | pages= 80-1 | pmid=2139057 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2139057  }}</ref>
| bgcolor="Beige" |[[Craniopharyngioma]], [[Aneurysm of anterior communicating artery]]<ref name="pmid26539276">{{cite journal| author=Seung WB, Kim DY, Park YS| title=A Large Ruptured Anterior Communicating Artery Aneurysm Presenting with Bitemporal Hemianopsia. | journal=J Korean Neurosurg Soc | year= 2015 | volume= 58 | issue= 3 | pages= 291-3 | pmid=26539276 | doi=10.3340/jkns.2015.58.3.291 | pmc=4630364 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26539276  }}</ref>, [[Intracranial vascular loop]], [[Meningioma]]<ref name="pmid11950417">{{cite journal| author=Bejjani GK, Cockerham KP, Kennerdell JS, Maroon JC| title=Visual field deficit caused by vascular compression from a suprasellar meningioma: case report. | journal=Neurosurgery | year= 2002 | volume= 50 | issue= 5 | pages= 1129-31; discussion 1131-2 | pmid=11950417 | doi=10.1097/00006123-200205000-00033 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11950417  }}</ref>, [[Enlarged third ventricle]]<ref name="OsherCorbett1978">{{cite journal|last1=Osher|first1=R. H.|last2=Corbett|first2=J. J.|last3=Schatz|first3=N. J.|last4=Savino|first4=P. J.|last5=Orr|first5=L. S.|title=Neuro-ophthalmological complications of enlargement of the third ventricle.|journal=British Journal of Ophthalmology|volume=62|issue=8|year=1978|pages=536–542|issn=0007-1161|doi=10.1136/bjo.62.8.536}}</ref>, [[Glioma of third ventricle]]<ref name="pmid26668411">{{cite journal| author=Thavaratnam LK, Loy ST, Gupta A, Ng I, Cullen JF| title=Chordoid glioma. | journal=Singapore Med J | year= 2015 | volume= 56 | issue= 11 | pages= 641-3 | pmid=26668411 | doi=10.11622/smedj.2015175 | pmc=4656874 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26668411  }}</ref>, [[Chronic chiasmal arachnoiditis]]<ref name="pmid13618533">{{cite journal| author=GIBBS DC| title=Chiasmal arachnoiditis. | journal=Br J Ophthalmol | year= 1959 | volume= 43 | issue= 1 | pages= 52-6 | pmid=13618533 | doi=10.1136/bjo.43.1.52 | pmc=512211 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13618533  }}</ref>, [[Suprasellar tumors|Suprasellar tumors<ref name="pmid18170220">{{cite journal| author=Lodge WO| title=BITEMPORAL HEMIANOPIA. | journal=Br J Ophthalmol | year= 1946 | volume= 30 | issue= 5 | pages= 276-81 | pmid=18170220 | doi= | pmc=510604 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18170220  }}</ref>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]][[Bitemporal hemianopia#cite%20note-pmid18170220-13|<span class="mw-reflink-text">[13]</span>]], [[Adamantinoma of sella turcica]]<ref name="pmid18170220" />, [[Optic neuropathy|Optic neuropathy<ref name="pmid24094504" />]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]][[Bitemporal hemianopia#cite%20note-pmid24094504-7|<span class="mw-reflink-text">[7]</span>]],  [[Traumatic chiasmal syndrome]]<ref name="Yazici2015">{{cite journal|last1=Yazici|first1=Bulent|title=Isolated Bitemporal Hemianopsia Due to Traumatic Chiasmal Syndrome|journal=Turkish Journal of Trauma and Emergency Surgery|year=2015|issn=1306696X|doi=10.5505/tjtes.2015.90540}}</ref>, [[Dolichoectasia of internal carotid arteries]]<ref name="pmid2139057">{{cite journal| author=Slavin ML| title=Bitemporal hemianopia associated with dolichoectasia of the intracranial carotid arteries. | journal=J Clin Neuroophthalmol | year= 1990 | volume= 10 | issue= 1 | pages= 80-1 | pmid=2139057 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2139057  }}</ref>
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|'''Opthalmologic'''
|'''Opthalmologic'''
| bgcolor="Beige" |[[Dermatochalasis]], [[Optic neuropathy]], [[Optic chiasmal syndrome]], [[Bilateral blepharoptosis]]<ref name="pmid21158577">{{cite journal| author=Levine BM, Lelli GJ| title=Bitemporal hemianopia caused by bilateral blepharoptosis. | journal=Orbit | year= 2010 | volume= 29 | issue= 6 | pages= 351-3 | pmid=21158577 | doi=10.3109/01676830.2010.516467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21158577  }}</ref>, [[Traumatic chiasmal syndrome]]
| bgcolor="Beige" |[[Dermatochalasis]], [[Optic neuropathy]], [[Optic chiasmal syndrome]], [[Bilateral blepharoptosis]]<ref name="pmid21158577">{{cite journal| author=Levine BM, Lelli GJ| title=Bitemporal hemianopia caused by bilateral blepharoptosis. | journal=Orbit | year= 2010 | volume= 29 | issue= 6 | pages= 351-3 | pmid=21158577 | doi=10.3109/01676830.2010.516467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21158577  }}</ref>, [[Traumatic chiasmal syndrome]], [[Retinal disorders]]<ref>{{cite journal|title=Bitemporal Hemianopia Caused by Retinal Disease|journal=Archives of Ophthalmology|volume=127|issue=12|year=2009|pages=1686|issn=0003-9950|doi=10.1001/archophthalmol.2009.320}}</ref>, [[Nasal]] [[Staphylomata]] <ref name="GuptaSmith2015">{{cite journal|last1=Gupta|first1=Anjali|last2=Smith|first2=J. M. Alaric|title=Bitemporal Hemianopia Secondary to Nasal Staphylomata|journal=Journal of Neuro-Ophthalmology|volume=35|issue=1|year=2015|pages=99–101|issn=1070-8022|doi=10.1097/WNO.0000000000000202}}</ref>
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|'''Overdose / Toxicity'''
|'''Overdose / Toxicity'''
| bgcolor="Beige" |Ethambutol toxicity
| bgcolor="Beige" |[[Ethambutol]] [[toxicity]]
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== Differentiating Bitemporal hemianopia from other Diseases ==
Bitemporal hemiaopia must be differentiated from other visual field defects such as [[Scotoma|Central scotoma]], [[Vision loss|Monocular vision loss]], [[Hemianopia|Unilateral Hemianopia]], [[Binasal hemianopsia]], [[Homonymous hemianopia]], [[Quadrantanopia|Homonymous Superior Quadrantanopia]], [[Quadrantanopia|Homonymous Inferior Quadrantanopia]],  [[Macular sparing|Homonymous hemianopia with macular sparing]].
== Risk Factors ==
There are no established risk factors for Bitemporal hemianopia.
== Screening ==
There is insufficient evidence to recommend routine screening for Bitemporal hemianopia.


*
*


==Related Chapters==
*
 
*[[Binasal hemianopsia]]
*[[Homonymous hemianopsia]]


==References==
==References==

Revision as of 10:32, 30 January 2021


Template:DiseaseDisorder infobox

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-In-Chief:Aditya Govindavarjhulla, M.B.B.S. [2]

Synonyms and keywords: Bitemporal hemianopsia

Overview

Bitemporal hemianopia is a specific type of visual disturbance in which sight in the outer half of the visual field of each eye is lost. As a result, the patient retains central vision but loses sight at the edges of his or her vision. This is not always obvious to a patient because one tends to focus conscious attention more on objects in the center of the visual field.

Hemianopia signifies a loss of half of the visual field, and bitemporal denotes the two lateral, or temporal, sides of the head. By contrast, homonymous hemianopia signifies that the same half of each visual field is lost, ie all vision on the left, or on the right, of the midline. Such a pattern of visual loss is caused by damage to the more distal part of the optic radiation, most commonly by a stroke. "Bitemporal hemianopia" can be broken down as follows: bi-: involves both left and right visual fields, temporal: involves the temporal visual field, hemi-: involves half of each visual field and anopsia: blindness (formed by a(n) no + opsis vision + ia).

Historical Perspective

  • First case of Bitemporal hemianopsia was first reported by Clarence A. Veasey, in 1904 [1].

Classification

  • Bitemporal hemianopia may be classified according to the number of defective optic fibers into complete bitemporal hemianopia and partial bitemporal hemianopia.

Pathophysiology

  • Bitemporal hemianopia is a visual defect due to a lesion involving optic chiasm.
  • While afferent sensory inputs from superior temporal quadrant of visual field are relayed through inferior nasal fibers of optic nerve, the inputs from inferior temporal quadrant are relayed through superior nasal fibers. Similarly the visual information from superior nasal quadrant and inferior nasal quadrant are relayed through inferior temporal fibers and superior temporal fibers respectively .
  • Optic chiasm is an anatomical structure in middle cranial fossa formed by decussation of nasal fibers of optic nerve travelling from retina to visual cortex.
  • A lesion involving optic chiasm either due to compression (eventually leading to vascular compromise) or vascular compromise, disrupts nasal fibers of optic nerve almost always resulting in bilateral defects in temporal half of visual field.[2]
  • A lesion compressing the chiasm from below (eg: pitutary tumors) will have predominant defects in superior temporal quadrants along with partial defects in inferior temporal quadrant and Vice-versa.

Causes

Most of the common causes of bitemporal hemianopia are due to disorders of the pituitary gland and its surrounding structures.

Common Causes

Causes by Organ System

Cardiovascular No underlying causes
Chemical / poisoning No underlying causes
Dermatologic Dermatochalasis[5]
Drug Side Effect Chloroquine retinopathy[6], Ethambutol toxicity[7]
Ear Nose Throat No underlying causes
Endocrine Pituatary macroadenoma, Prolactinoma
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease No underlying causes
Musculoskeletal / Ortho No underlying causes
Neurologic Craniopharyngioma, Aneurysm of anterior communicating artery[8], Intracranial vascular loop, Meningioma[9], Enlarged third ventricle[10], Glioma of third ventricle[11], Chronic chiasmal arachnoiditis[12], Suprasellar tumors[13][13][13][13][13][13], Adamantinoma of sella turcica[13], Optic neuropathy[7][7][7][7][7][7], Traumatic chiasmal syndrome[14], Dolichoectasia of internal carotid arteries[15]
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic Hypophyseal hypertrophy in pregnancy[16]
Oncologic Adamantinoma of sella turcica, Craniopharyngioma, Glioma of third ventricle, Pituitary macroadenoma, Prolactinoma, Meningioma, Suprasellar tumors
Opthalmologic Dermatochalasis, Optic neuropathy, Optic chiasmal syndrome, Bilateral blepharoptosis[17], Traumatic chiasmal syndrome, Retinal disorders[18], Nasal Staphylomata [19]
Overdose / Toxicity Ethambutol toxicity
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy No underlying causes
Sexual No underlying causes
Trauma Traumatic chiasmal syndrome
Urologic No underlying causes
Dental No underlying causes
Miscellaneous No underlying causes

Differentiating Bitemporal hemianopia from other Diseases

Bitemporal hemiaopia must be differentiated from other visual field defects such as Central scotoma, Monocular vision loss, Unilateral Hemianopia, Binasal hemianopsia, Homonymous hemianopia, Homonymous Superior Quadrantanopia, Homonymous Inferior Quadrantanopia, Homonymous hemianopia with macular sparing.

Risk Factors

There are no established risk factors for Bitemporal hemianopia.

Screening

There is insufficient evidence to recommend routine screening for Bitemporal hemianopia.

References

  1. Veasey CA (1904). "Observations of a case of bi-temporal hemianopsia with some unusual changes in the visual fields". Trans Am Ophthalmol Soc. 10 (Pt 2): 383–7. PMC 1322445. PMID 16692037.
  2. Hoyt WF (1970). "Correlative functional anatomy of the optic chiasm. 1969". Clin Neurosurg. 17: 189–208. doi:10.1093/neurosurgery/17.cn_suppl_1.189. PMID 4939481.
  3. Lake MG, Krook LS, Cruz SV (2013). "Pituitary adenomas: an overview". Am Fam Physician. 88 (5): 319–27. PMID 24010395.
  4. Müller HL (2014). "Craniopharyngioma". Endocr Rev. 35 (3): 513–43. doi:10.1210/er.2013-1115. PMID 24467716.
  5. Fay A, Lee LC, Pasquale LR (2003). "Dermatochalasis causing apparent bitemporal hemianopsia". Ophthalmic Plast Reconstr Surg. 19 (2): 151–3. doi:10.1097/01.IOP.0000055827.78632.CA. PMID 12644764.
  6. Goldhammer, Y.; Smith, J. L. (1974). "Bitemporal hemianopia in chloroquine retinopathy". Neurology. 24 (12): 1135–1135. doi:10.1212/WNL.24.12.1135. ISSN 0028-3878.
  7. 7.0 7.1 Boulanger Scemama E, Touitou V, Le Hoang P (2013). "[Bitemporal hemianopia as presenting sign of severe ethambutol toxicity]". J Fr Ophtalmol. 36 (9): e163–7. doi:10.1016/j.jfo.2012.12.008. PMID 24094504.
  8. Seung WB, Kim DY, Park YS (2015). "A Large Ruptured Anterior Communicating Artery Aneurysm Presenting with Bitemporal Hemianopsia". J Korean Neurosurg Soc. 58 (3): 291–3. doi:10.3340/jkns.2015.58.3.291. PMC 4630364. PMID 26539276.
  9. Bejjani GK, Cockerham KP, Kennerdell JS, Maroon JC (2002). "Visual field deficit caused by vascular compression from a suprasellar meningioma: case report". Neurosurgery. 50 (5): 1129–31, discussion 1131-2. doi:10.1097/00006123-200205000-00033. PMID 11950417.
  10. Osher, R. H.; Corbett, J. J.; Schatz, N. J.; Savino, P. J.; Orr, L. S. (1978). "Neuro-ophthalmological complications of enlargement of the third ventricle". British Journal of Ophthalmology. 62 (8): 536–542. doi:10.1136/bjo.62.8.536. ISSN 0007-1161.
  11. Thavaratnam LK, Loy ST, Gupta A, Ng I, Cullen JF (2015). "Chordoid glioma". Singapore Med J. 56 (11): 641–3. doi:10.11622/smedj.2015175. PMC 4656874. PMID 26668411.
  12. GIBBS DC (1959). "Chiasmal arachnoiditis". Br J Ophthalmol. 43 (1): 52–6. doi:10.1136/bjo.43.1.52. PMC 512211. PMID 13618533.
  13. 13.0 13.1 Lodge WO (1946). "BITEMPORAL HEMIANOPIA". Br J Ophthalmol. 30 (5): 276–81. PMC 510604. PMID 18170220.
  14. Yazici, Bulent (2015). "Isolated Bitemporal Hemianopsia Due to Traumatic Chiasmal Syndrome". Turkish Journal of Trauma and Emergency Surgery. doi:10.5505/tjtes.2015.90540. ISSN 1306-696X.
  15. Slavin ML (1990). "Bitemporal hemianopia associated with dolichoectasia of the intracranial carotid arteries". J Clin Neuroophthalmol. 10 (1): 80–1. PMID 2139057.
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