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A Giant Tumefactive Virchow-Robin Space: A Rare Cause of a Homonymous Quadrantanopia

Rivet, Alysse MD; Gauthier, Anne-Sophie MD; Chatain, Marion MD; Billon-Grand, Romain MD; Thines, Laurent PhD; Delbosc, Bernard PhD

Section Editor(s): McCulley, Timothy J. MD

Journal of Neuro-Ophthalmology: March 2017 - Volume 37 - Issue 1 - p 75–76
doi: 10.1097/WNO.0000000000000478
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Abstract: A 53-year-old woman was found to have a left inferior homonymous quadrantanopia. Brain MRI disclosed a giant Virchow–Robin space compressing the right optic tract. After fenestration of this cystic lesion, most of the visual field loss resolved. Giant Virchow–Robin spaces may cause homonymous field defects which, with appropriate management, may improve.

Department of Neurosurgery (AR, RB-G, LT), University Hospital, Besançon, France; Department of Ophthalmology (A-SG, MC, BD), University Hospital, Besançon, France.

Address correspondence to Anne-Sophie Gauthier, MD, Department of Ophthalmology, University Hospital, Besançon, 3 Boulevard Alexandre Fleming, 25030 Besançon, France; E-mail:

The authors report no conflicts of interest.

© 2017 by North American Neuro-Ophthalmology Society