To describe the visual outcome of patients with a traumatic optic chiasm syndrome, with and without neurosurgical intervention. The retrospective clinical interventional study included 14 patients, who either underwent a neurosurgical intervention with transcranial decompression of the optic canal (11 patients) in combination with a high-dosage systemic corticosteroid therapy or who received a high-dosage systemic corticosteroid tretament only (3 patients). In the surgical group, visual field improved after surgery in 6 (55%) patients and remained unchanged in 5 (45%) patients, while in none of the patients without surgery, the visual field improved. Neurosurgical decompression of the optic chiasm and optic nerve canal may be associated with a visual improvement in some patients with a traumatic optic chiasm syndrome.
第一作者机构：[1]Capital Med Univ, Beijing Tongren Hosp, Beijing Tongren Eye Ctr, Beijing Inst Ophthalmol, Beijing, Peoples R China
通讯作者：
通讯机构：[1]Capital Med Univ, Beijing Tongren Hosp, Beijing Tongren Eye Ctr, Beijing Inst Ophthalmol, Beijing, Peoples R China[3]Fac Clin Med Mannheim, Dept Ophthalmol, D-68167 Mannheim, Germany[*1]Fac Clin Med Mannheim, Dept Ophthalmol, Theodor Kutzer Ufer 1-3, D-68167 Mannheim, Germany
推荐引用方式(GB/T 7714)：
Wang Jian,You Qi Sheng,Xu Liang,et al.Transcranial approach for treatment for traumatic optic chiasm syndrome[J].ACTA NEUROCHIRURGICA.2009,151(12):1711-1716.doi:10.1007/s00701-009-0308-3.
APA：
Wang, Jian,You, Qi Sheng,Xu, Liang,Zhang, Tianming,Qiu, E.&Jonas, Jost B..(2009).Transcranial approach for treatment for traumatic optic chiasm syndrome.ACTA NEUROCHIRURGICA,151,(12)
MLA：
Wang, Jian,et al."Transcranial approach for treatment for traumatic optic chiasm syndrome".ACTA NEUROCHIRURGICA 151..12(2009):1711-1716
