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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 291 - 293 (3page)
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초록· 키워드
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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 $18{\times}8mm$ 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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등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Aoki N / 1988 / Partially thrombosed aneurysm presenting as the sudden onset of bitemporal hemianopsia / Neurosurgery 22:564~566
Chan JW. / 1997 / Pathogenesis of acute monocular blindness from leaking anterior communicating artery aneurysms : report of six cases / Neurology 48:680~683
Claes C. / 2006 / Acute retrobulbar optic neuropathy due to rupture of an anterior communicating artery aneurysm / Acta Ophthalmol Scand 84:145~146
Date I. / 1997 / Penetration of the optic chiasm by a ruptured anterior communicating artery aneurysm. Case report / J Neurosurg 87:324~326
Ferguson GG. / 1981 / Carotid-ophthalmic aneurysms : visual abnormalities in 32 patients and the results of treatment / Surg Neurol 16:1~8
Chan JW. / 1997 / Pathogenesis of acute monocular blindness from leaking anterior communicating artery aneurysms : report of six cases / Neurology 48:680~683
Claes C. / 2006 / Acute retrobulbar optic neuropathy due to rupture of an anterior communicating artery aneurysm / Acta Ophthalmol Scand 84:145~146
Date I. / 1997 / Penetration of the optic chiasm by a ruptured anterior communicating artery aneurysm. Case report / J Neurosurg 87:324~326
Ferguson GG. / 1981 / Carotid-ophthalmic aneurysms : visual abnormalities in 32 patients and the results of treatment / Surg Neurol 16:1~8
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