Background: Compression of the optic chiasm typically leads to bitemporal hemianopia. This implies that decussating nasal fibers are selectively affected, but the precise mechanism is unclear. Stress on nasal fibers has been investigated using finite element modeling but requires accurate anatomical data to generate a meaningful output.
View Article and Find Full Text PDFPurpose: Hemidecussation of fibers entering the optic chiasm from the optic nerves is well recognized. The reason why bitemporal hemianopia results from chiasmal compression has not been fully explained. There is still a paucity of data relating to the precise details of the routes that the nerve fibers take through the chiasm and, in particular, where and how nerve fibers cross each other.
View Article and Find Full Text PDFBackground: The precise mechanism of bitemporal hemianopia is still not clear. Our study investigated the mechanism of bitemporal hemianopia by studying the biomechanics of chiasmal compression caused by a pituitary tumor growing below the optic chiasm.
Methods: Chiasmal compression and nerve fiber interaction in the chiasm were simulated numerically using finite element modeling software.
The precise mechanism of bitemporal hemianopia (a type of partial visual field defect) is still not clear. Previous work has investigated this problem by studying the biomechanics of chiasmal compression caused by a pituitary tumour growing up from below the optic chiasm. A multi-scale analysis was performed using finite element models to examine both the macro-scale behaviour of the chiasm and the micro-scale interactions of the nerve fibres within it using representative volume elements.
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