{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:09:21Z","timestamp":1790950161643,"version":"4.1.0"},"reference-count":8,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:p>Elongation of the anterior cerebral artery (ACA) and subsequent compression of the chiasm rarely have been reported as causes of a visual field deficit. Neither has microvascular decompression of the chiasm been described in this circumstance. The authors report on a case of progressive visual deficits caused by compression of the optic apparatus by a right elongated ACA as documented on MR imaging. Microvascular decompression was proposed as treatment. The right A<jats:sub>1<\/jats:sub> segment was larger than usual and tortuous, transmitting its pulsations into the chiasm. A piece of Teflon was inserted between the A<jats:sub>1<\/jats:sub> segment and the chiasm. Following surgery, the visual field deficit progressively improved. At 4 months after surgery, the patient's visual fields were normal. Therefore, an elongated ACA can compress the chiasm and result in a visual field deficit. In such circumstances when facing a progressive visual field deficit, microvascular decompression may improve vision.<\/jats:p>","DOI":"10.3171\/2009.9.jns081658","type":"journal-article","created":{"date-parts":[[2009,10,23]],"date-time":"2009-10-23T12:24:37Z","timestamp":1256300677000},"page":"857-860","source":"Crossref","is-referenced-by-count":13,"title":["Microvascular decompression of the optic chiasm"],"prefix":"10.3171","volume":"114","author":[{"given":"Nancy","family":"McLaughlin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel W.","family":"Bojanowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns081658","series-title":"Trans Am Acad Ophthalmol Otolaryngol","first-page":"95","article-title":"Surgical treatment of vascular diseases altering the function of the eyes","volume":"46","author":"Adson","year":"1941"},{"key":"b2-jns081658","series-title":"JAMA","first-page":"1018","article-title":"An arteriosclerotic chiasmal syndrome. 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Selected pathologic involvement and clinical problems","volume":"50","author":"Walsh","year":"1960"},{"key":"b8-jns081658","series-title":"Arch Ophtalmol (Paris)","first-page":"704","article-title":"Foster Kennedy syndrome associated with non-neoplastic intracranial conditions","volume":"28","author":"Yaskin","year":"1942"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/3\/article-p857.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/3\/article-p857.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/3\/article-p857.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T05:51:23Z","timestamp":1679896283000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/3\/article-p857.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2011,3]]},"references-count":8,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2009.9.jns081658","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3]]}}}