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Article
July 1931

CERTAIN PATHOLOGIC CONDITIONS ABOUT THE CHIASM: WITH SPECIAL REFERENCE TO PITUITARY ADENOMAS

Author Affiliations

PHILADELPHIA
From the Department of Neurosurgery and the Department of Ophthalmology, Hospital of the University of Pennsylvania.

Arch Ophthalmol. 1931;6(1):81-92. doi:10.1001/archopht.1931.00820070088009
Abstract

In approaching a study of certain lesions that may develop at the base of the skull in the vicinity of the chiasm, it seems appropriate to refer to certain anatomic conditions that many influence, to some extent, certain signs or symptoms that are prone to occur.

The circle of Willis, situated in the interpeduncular cistern, forms a complete circular anastomosis in 93 per cent of the cases ; in Stopford's1 series of one hundred and five specimens, the remaining 7 per cent concerned the posterior communicating artery. In early intrauterine life this artery represents the origin of the posterior cerebral from the internal carotid artery, but later, after the posterior cerebral artery has formed its anastomosis with the basilar artery, the posterior communicating artery becomes of less importance. Its ultimate size and importance vary with the efficiency of the anastomosis referred to. In one of Stopford's cases it

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