Nervous and Senses Disorders · USMLE Step 1

A patient develops bitemporal hemianopia (loss of both temporal visual fields). Which lesion is most likely?

  1. Optic nerve compression
  2. Optic chiasm compression
  3. Optic tract compression
  4. Meyer's loop compression
Show answer and explanation

Correct answer: Optic chiasm compression

Compression of the optic chiasm (often by a pituitary tumor) damages the crossing nasal retinal fibers, producing bitemporal hemianopia.

Difficulty: Medium Question 16 of 20

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