Clinical Manifestations, Character of Aneurysms, and Surgical Results for Unruptured Cerebral Aneurysms Presenting with Ophthalmic Symptoms

Nishino, Akiko; Sakurai, Yoshiaki; Arai, Hiroaki; Nishimura, Sadako; Suzuki, Sh.; Uenohara, Hiroshi

doi:10.1007/978-3-7091-6736-6_9

Cited by 7 publications

(8 citation statements)

References 2 publications

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“…reported improvement in visual field defect following the clipping of AcomA aneurysm. 2 Likewise, Oliveria et al. has 15 patients with visual field defect accompanying internal carotid artery aneurysms, five of whom underwent aneurysm clipping procedure due to the involvement of AcomA.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular treatment of an unruptured anterior communicating artery aneurysm presenting with acute altitudinal visual field defect: A case report

Abrishami

Baharvahdat

Hosseini

et al. 2018

Journal of Current Ophthalmology

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PurposeTo describe a case of endovascular occlusion of an unruptured anterior communicating artery aneurysm presenting with acute altitudinal visual field defect is presented here.MethodsA 52-year-old man was evaluated and treated for altitudinal visual field defect in the right eye.ResultsIn ophthalmic and neuro-imaging, an accompanying anterior communication artery aneurysm was detected as a cause of visual field defect. He underwent endovascular procedure, yielding excellent outcome as full recovery of visual field defect was observed one month following the procedure and sustained when followed at month 24.ConclusionsVisual dysfunction is a rare presentation of unruptured anterior communication artery aneurysm. Endovascular procedure may be a safe treatment in these cases.

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Section: Discussionmentioning

confidence: 99%

“…The former includes optic nerve and chiasma, whereas latter encompass optic tract and optic radiation. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

Endovascular treatment of an unruptured anterior communicating artery aneurysm presenting with acute altitudinal visual field defect: A case report

Abrishami

Baharvahdat

Hosseini

et al. 2018

Journal of Current Ophthalmology

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“…In most cases, clip ligation of the neck has a good prognosis, even for the patients with poor fundus conditions 13) . Some authors report that it is necessary to follow patients for up to two years after surgery to observe recovery from the visual disturbance 5 11) . In our case, ophthalmologic findings nine months after surgery indicated that visual acuity and field defects were gradually improving.…”

Section: Discussionmentioning

confidence: 99%

A Large Ruptured Anterior Communicating Artery Aneurysm Presenting with Bitemporal Hemianopsia

Seung

Kim

Park

2015

J Korean Neurosurg Soc

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Anterior communicating artery (ACoA) aneurysms sometimes present with visual symptoms when they rupture or directly compress the optic nerve. Giant or large ACoA aneurysms producing bitemporal hemianopsia are extremely rare. Here we present an unusual case of bitemporal hemianopsia caused by a large intracranial aneurysm of the ACoA. A 41-year-old woman was admitted to our neurosurgical department with a sudden-onset bursting headache and visual impairment. On admission, her vision was decreased to finger counting at 30 cm in the left eye and 50 cm in the right eye, and a severe bitemporal hemianopsia was demonstrated on visual field testing. A brain computed tomography scan revealed a subarachnoid hemorrhage at the basal cistern, and conventional cerebral catheter angiography of the left internal carotid artery demonstrated an 18×8 mm dumbbell-shaped aneurysm at the ACoA. Microscopic aneurysmal clipping was performed. An ACoA aneurysm can produce visual field defects by compressing the optic chiasm or nerves. We emphasize that it is important to diagnose an aneurysm through cerebrovascular study to prevent confusing it with pituitary apoplexy.

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“…[5] Some authors report that it is necessary to follow patients for up to 2 years after surgery to observe recovery from the visual disturbance. [12,13]…”

Section: Case Reportmentioning

confidence: 99%

Junctional Chiasmatic Syndrome Due to Large Anterior Communicating Artery Aneurysm

Kesani

Pelluru

Bhattacharjee

et al. 2017

Journal of Neurosciences in Rural Practice

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Even though aneurysm involving the anterior communicating artery (A Com A) was common in clinical practice, producing compressive symptoms such as visual loss was rare. We report a case, in which patient had gradually progressive visual loss with features of the junctional chiasmatic syndrome, imaging revealed partially thrombosed large A Com A aneurysm. Intraoperatively, aneurysm was found compressing the optic chiasm and right optic nerve, following clipping and decompression of the optic nerve and chiasm there was gradually improvement in the vision over 2 weeks postoperatively.

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Clinical Manifestations, Character of Aneurysms, and Surgical Results for Unruptured Cerebral Aneurysms Presenting with Ophthalmic Symptoms

Cited by 7 publications

References 2 publications

Endovascular treatment of an unruptured anterior communicating artery aneurysm presenting with acute altitudinal visual field defect: A case report

Endovascular treatment of an unruptured anterior communicating artery aneurysm presenting with acute altitudinal visual field defect: A case report

A Large Ruptured Anterior Communicating Artery Aneurysm Presenting with Bitemporal Hemianopsia

Junctional Chiasmatic Syndrome Due to Large Anterior Communicating Artery Aneurysm

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