Penetration of the optic chiasm by a ruptured anterior communicating artery aneurysm. Case report.

Abstract:

:There are few reports of anterior communicating artery aneurysms causing visual symptoms, and penetration of the optic chiasm by such aneurysms has not been reported. A 40-year-old man presented with the abrupt onset of left homonymous hemianopsia, right visual acuity disturbance (finger counting), and slight headache. Angiography disclosed a 7-mm anterior communicating artery aneurysm projecting inferiorly. After the neck of the aneurysm was clipped, the dome of the aneurysm was resected. The operation confirmed that the aneurysm had penetrated the right half of the optic chiasm and the thrombosed dome had also compressed the right optic tract. Although the aneurysm was successfully clipped, the visual disturbance persisted after surgery, suggesting that the damage to the visual pathways by aneurysm penetration was irreversible in this case.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Date I,Akioka T,Ohmoto T

doi

10.3171/jns.1997.87.2.0324

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

324-6

issue

2

eissn

0022-3085

issn

1933-0693

journal_volume

87

pub_type

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