Ischemic Optic Neuropathy Associated with Subarachnoid Hemorrhage after Rupture of Anterior Communicating Artery Aneurysm

2003 ◽  
Vol 217 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Naoto Hara ◽  
Kazuo Mukuno ◽  
Hironori Ohtaka ◽  
Kimiya Shimizu
2021 ◽  
Vol 12 ◽  
pp. 471
Author(s):  
Amit Kumar Sharma ◽  
Binita Dholakia ◽  
Anita Jagetia ◽  
Ghanshyam Das Singhal ◽  
Shaam Bodeliwala ◽  
...  

Background: The acute postoperative monocular vision loss following anterior communicating artery aneurysm clipping secondary to posterior ischemic optic neuropathy (PION) a rare presentation. Case Description: A 32-year old patient presented with a spontaneous holocranial thunderclap headache for 7 days, associated with vomiting. The SAH was diagnosed with a tiny saccular aneurysm arising from the anterior communicating artery. A left pterional craniotomy and clipping of aneurysm were done. On the 3rd postoperative day, he complained of left-sided complete blindness, and on the 5th postoperative day, his GCS dropped to E4V1M5 with right-sided hemiplegia. MRI brain showed normal optic apparatus with bilateral ACA and left MCA territory infarct. Conclusion: The PION must be kept in the differential diagnosis of post-clipping sudden visual deterioration, especially following anterior communicating artery aneurysm rupture.


2005 ◽  
Vol 84 (1) ◽  
pp. 145-146 ◽  
Author(s):  
Catherine Claes ◽  
Dan Milea ◽  
Bahram Bodaghi ◽  
Thi Ha Chau Tran ◽  
Phuc LeHoang ◽  
...  

2008 ◽  
Vol 1 (1) ◽  
pp. 83-87 ◽  
Author(s):  
Suresh N. Magge ◽  
H. Isaac Chen ◽  
Michael F. Stiefel ◽  
Linda Ernst ◽  
Ann Marie Cahill ◽  
...  

✓The authors report the case of an 18-month-old girl who presented with a ruptured anterior communicating artery aneurysm, and who was later diagnosed with Takayasu arteritis. Her initial aneurysm was successfully treated with clip application. However, over a 6-month period she had multiple ruptures from new and rapidly recurring aneurysms adjacent to the clips. These aneurysms were treated with repeated craniotomy and clip application and then with endovascular coil placement. Aneurysmal subarachnoid hemorrhage is a rare presentation of Takayasu arteritis. To the authors' knowledge, this is the youngest reported patient with Takayasu arteritis to present with a ruptured cerebral aneurysm.


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