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A 59 year old woman with acute visual field loss
Digital Journal of Ophthalmology 2004
Volume 10, Number 9
September 15, 2004
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Seema Arora
Martyn P Carey | University of Birmingham
George A Shin-Shin | Wolverhampton Eye Infirmary



Differential Diagnosis

Differential diagnosis of chiasmal syndrome is a sellar (supra and parasellar) lesion, including

- Neoplastic: Pituitary tumour, glioma, craniopharyngioma, meningioma, chordoma
- Vascular: suprasellar carotid artery aneurysm, cavernous haemangioma
- Infection or inflammation: sarcoidosis, syphilis, tuberculosis, histiocytosis X
- Congenital cysts: arachnoid cyst, Rathke cleft cyst.

Radiological differential would include:
- Craniopharyngioma
- Calcified Aneurysm
- Meningioma
- Chordomas
- Astrocytoma
- Ependymoma
- Arachnoid cyst

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