Neuroanatomy basics · USMLE Step 1

A patient with a pituitary tumor develops bitemporal hemianopia. Which structure is compressed?

  1. Optic nerve
  2. Optic chiasm
  3. Optic tract
  4. Lateral geniculate nucleus
Show answer and explanation

Correct answer: Optic chiasm

Compression of the optic chiasm disrupts crossing nasal fibers, causing loss of temporal visual fields. This produces bitemporal hemianopia.

Difficulty: Medium Question 14 of 20

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