{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:32:44Z","timestamp":1769725964901,"version":"3.49.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,8,11]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>A superior temporal visual field defect is the first sign of a chiasmal disorder by a suprasellar mass lesion. Some lesions may present with atypical visual deficits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors present the case of a 71-year-old woman who presented with inferior temporal hemianopia of the left eye in the setting of a Rathke\u2019s cleft cyst (RCC). During transsphenoidal surgery, they found the optic nerve was compressed by the anterior cerebral artery (ACA) and appeared translucent. Preoperative MRI revealed that the left optic nerve was compressed between the ACA and RCC, corresponding to surgical findings. Postoperative imaging showed optic nerve thinning and notching on its surface.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>In patients with visual field impairment by sellar mass lesion, attention should be paid not only to upward compression by the mass lesion but also to downward compression by the ACA.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25334\">https:\/\/thejns.org\/doi\/10.3171\/CASE25334<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25334","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T23:43:54Z","timestamp":1754955834000},"source":"Crossref","is-referenced-by-count":0,"title":["An atypical visual presentation in a setting of a critically thinned optic nerve compressed between a Rathke\u2019s cleft cyst and anterior cerebral artery: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Rayford","family":"Hazunga","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4248-2322","authenticated-orcid":true,"given":"Satoru","family":"Oshino","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Onoda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidekazu","family":"Nakata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2103-1909","authenticated-orcid":true,"given":"Noriyuki","family":"Kijima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruhiko","family":"Kishima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The University of Osaka Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"suppl 1","key":"bib1","series-title":"Acta Otorhinolaryngol Ital","first-page":"S30","article-title":"Sellar and parasellar lesions: multidisciplinary management","volume":"41","author":"Emanuelli","year":"2021","unstructured":"Emanuelli EZanotti CMunari SBaldovin MSchiavo GDenaro L.Sellar and parasellar lesions: multidisciplinary management. Acta Otorhinolaryngol Ital. 2021;41(suppl 1):S30-S41."},{"key":"bib2","series-title":"Surg Neurol Int","first-page":"70","article-title":"Inferior temporal quadrantanopia associated with pituitary adenomas and a potential mechanism of excessive optic nerve bending","volume":"15","author":"Demura","year":"2024","unstructured":"Demura MSasagawa YHayashi YTachibana ONakada M.Inferior temporal quadrantanopia associated with pituitary adenomas and a potential mechanism of excessive optic nerve bending. Surg Neurol Int. 2024;15:70."},{"issue":"6","key":"bib3","series-title":"Curr Opin Ophthalmol","first-page":"325","article-title":"Chiasmal syndromes","volume":"14","author":"Foroozan","year":"2003","unstructured":"Foroozan R.Chiasmal syndromes. Curr Opin Ophthalmol. 2003;14(6):325-331."},{"issue":"3","key":"bib4","series-title":"Pituitary","first-page":"287","article-title":"Appearance of fluid content in Rathke\u2019s cleft cyst is associated with clinical features and postoperative recurrence rates","volume":"27","author":"Iwata","year":"2024","unstructured":"Iwata TOshino SSaitoh YAppearance of fluid content in Rathke\u2019s cleft cyst is associated with clinical features and postoperative recurrence rates. Pituitary. 2024;27(3):287-293."},{"issue":"3","key":"bib5","series-title":"Can J Neurol Sci","first-page":"440","article-title":"Neurovascular compression in the anterior visual pathway: a case series","volume":"50","author":"Gelkopf","year":"2023","unstructured":"Gelkopf MJJabehdar Maralani PDa Costa LBirt CSundaram ANE.Neurovascular compression in the anterior visual pathway: a case series. Can J Neurol Sci. 2023;50(3):440-445."},{"key":"bib6","series-title":"World Neurosurg","first-page":"372","article-title":"Carotid-falciform optic neuropathy: microsurgical treatment","volume":"104","author":"Woodall","year":"2017","unstructured":"Woodall MNAlleyne CH.Carotid-falciform optic neuropathy: microsurgical treatment. World Neurosurg. 2017;104:372-375."},{"issue":"5","key":"bib7","series-title":"Neuro-Ophthalmology","first-page":"295","article-title":"Intracranial arterial compression of the anterior visual pathway","volume":"43","author":"Jain","year":"2019","unstructured":"Jain NSKam AWChong CIntracranial arterial compression of the anterior visual pathway. Neuro-Ophthalmology. 2019;43(5):295-304."},{"key":"bib8","series-title":"Brain Spine","first-page":"102718","article-title":"Management of patients with a neurovascular conflict involving the optic nerve and a non-diseased intracranial artery: three cases","volume":"4","author":"Schenck","year":"2024","unstructured":"Schenck HM\u00fcther MMaragno EHolling MCornelissen MHaeren R.Management of patients with a neurovascular conflict involving the optic nerve and a non-diseased intracranial artery: three cases. Brain Spine. 2024;4:102718."},{"issue":"5","key":"bib9","series-title":"Neurosurgery","first-page":"1129","article-title":"Visual field deficit caused by vascular compression from a suprasellar meningioma: case report","volume":"50","author":"Bejjani","year":"2002","unstructured":"Bejjani GKCockerham KPKennerdell JSMaroon JC.Visual field deficit caused by vascular compression from a suprasellar meningioma: case report. Neurosurgery. 2002;50(5):1129-1131."},{"key":"bib10","series-title":"World Neurosurg","first-page":"662.e7","article-title":"Penetration of an optic nerve by a sellar\/suprasellar arachnoid cyst","volume":"87","author":"Dawkins","year":"2016","unstructured":"Dawkins RLHackney JRRiley KO.Penetration of an optic nerve by a sellar\/suprasellar arachnoid cyst. World Neurosurg. 2016;87:662.e7-662.11."},{"issue":"3","key":"bib11","series-title":"J Neurosurg","first-page":"857","article-title":"Microvascular decompression of the optic chiasm: case report","volume":"114","author":"McLaughlin","year":"2011","unstructured":"McLaughlin NBojanowski MW.Microvascular decompression of the optic chiasm: case report. J Neurosurg. 2011;114(3):857-860."},{"key":"bib12","series-title":"World Neurosurg","first-page":"367.e5","article-title":"Microvascular decompression of the optic nerve for paroxysmal phosphenes and visual field deficit","volume":"85","author":"De Ridder","year":"2016","unstructured":"De Ridder DSime MJTaylor PMenovsky TVanneste S.Microvascular decompression of the optic nerve for paroxysmal phosphenes and visual field deficit. World Neurosurg. 2016;85:367.e5-367.e9."},{"issue":"suppl 1","key":"bib1","series-title":"Acta Otorhinolaryngol Ital","first-page":"S30","article-title":"Sellar and parasellar lesions: multidisciplinary management","volume":"41","author":"Emanuelli","year":"2021","unstructured":"Emanuelli EZanotti CMunari SBaldovin MSchiavo GDenaro L.Sellar and parasellar lesions: multidisciplinary management. 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Can J Neurol Sci. 2023;50(3):440-445."},{"key":"bib6","series-title":"World Neurosurg","first-page":"372","article-title":"Carotid-falciform optic neuropathy: microsurgical treatment","volume":"104","author":"Woodall","year":"2017","unstructured":"Woodall MNAlleyne CH.Carotid-falciform optic neuropathy: microsurgical treatment. World Neurosurg. 2017;104:372-375."},{"issue":"5","key":"bib7","series-title":"Neuro-Ophthalmology","first-page":"295","article-title":"Intracranial arterial compression of the anterior visual pathway","volume":"43","author":"Jain","year":"2019","unstructured":"Jain NSKam AWChong CIntracranial arterial compression of the anterior visual pathway. Neuro-Ophthalmology. 2019;43(5):295-304."},{"key":"bib8","series-title":"Brain Spine","first-page":"102718","article-title":"Management of patients with a neurovascular conflict involving the optic nerve and a non-diseased intracranial artery: three cases","volume":"4","author":"Schenck","year":"2024","unstructured":"Schenck HM\u00fcther MMaragno EHolling MCornelissen MHaeren R.Management of patients with a neurovascular conflict involving the optic nerve and a non-diseased intracranial artery: three cases. Brain Spine. 2024;4:102718."},{"issue":"5","key":"bib9","series-title":"Neurosurgery","first-page":"1129","article-title":"Visual field deficit caused by vascular compression from a suprasellar meningioma: case report","volume":"50","author":"Bejjani","year":"2002","unstructured":"Bejjani GKCockerham KPKennerdell JSMaroon JC.Visual field deficit caused by vascular compression from a suprasellar meningioma: case report. Neurosurgery. 2002;50(5):1129-1131."},{"key":"bib10","series-title":"World Neurosurg","first-page":"662.e7","article-title":"Penetration of an optic nerve by a sellar\/suprasellar arachnoid cyst","volume":"87","author":"Dawkins","year":"2016","unstructured":"Dawkins RLHackney JRRiley KO.Penetration of an optic nerve by a sellar\/suprasellar arachnoid cyst. World Neurosurg. 2016;87:662.e7-662.11."},{"issue":"3","key":"bib11","series-title":"J Neurosurg","first-page":"857","article-title":"Microvascular decompression of the optic chiasm: case report","volume":"114","author":"McLaughlin","year":"2011","unstructured":"McLaughlin NBojanowski MW.Microvascular decompression of the optic chiasm: case report. J Neurosurg. 2011;114(3):857-860."},{"key":"bib12","series-title":"World Neurosurg","first-page":"367.e5","article-title":"Microvascular decompression of the optic nerve for paroxysmal phosphenes and visual field deficit","volume":"85","author":"De Ridder","year":"2016","unstructured":"De Ridder DSime MJTaylor PMenovsky TVanneste S.Microvascular decompression of the optic nerve for paroxysmal phosphenes and visual field deficit. 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