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Objective : Intracranial aneurysms are sometimes presented with visual symptoms by their rupture or direct compression of the optic nerve. It is

because their prevalent sites are anatomically located close to the optic pathway. Anterior communicating artery is especially located in close

proximity to optic nerve. Aneurysm arising in this area can produce visual symptoms according to their direction while the size is small. Clinical

importance of visual symptoms presented by aneurysmal optic nerve compression is stressed in this study.

Methods : Retrospective analysis of ruptured anterior communicating artery aneurysms compressing optic apparatus were carried out. Total 33

cases were enrolled in this study. Optic nerve compression of the aneurysms was confirmed by the surgical fields.

Results : In 33 cases among 351 cases of ruptured anterior communicating artery aneurysms treated surgically, from 1991 to 2000, the dome of

aneurysm was compressed in optic pathway. In some cases, aneurysm impacted into the optic nerve that deep hollowness was found when the

aneurysm sac was removed during operation. Among 33 cases, 10 cases presented with preoperative visual symptoms, such as visual dimness

(5), unilateral visual field defect (2) or unilateral visual loss (3), 20 cases had no visual symptoms. Visual symptoms could not be checked in 3

cases due to the poor mental state. In 6 cases among 20 cases having no visual symptoms, optic nerve was deeply compressed by the dome of

aneurysm which was seen in the surgical field. Of 10 patients who had visual symptoms, 8 showed improvement in visual symptoms within 6

months after clipping of aneurysms. In 2 cases, the visual symptoms did not recover.

Conclusion : Anterior communicating artery aneurysm can cause visual symptoms by compressing the optic nerve or direct rupture to the optic

nerve with focal hematoma formation. We emphasize that cerebral vascular study is highly recommended to detect intracranial aneurysm before

its rupture in the case of normal CT findings with visual symptoms and frequent headache.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Pedicular and extrapedicular morphometric analysis in the Korean population : computed tomographic assessment relevance to pedicle and extrapedicle screw fixation in the thoracic spine Jun-Hak Kim ; Gyeong-Mi Choi ; In-Bok Chang ; Sung-Ki Ahn ; Joon-Ho Song ; Hyun-Chul Choi pp.181-188

Thoracic myelopathy caused by ossification of the ligamentum flavum Hyuk Hur ; Jung-Kil Lee ; Jae-Hyun Lee ; Jae-Hyoo Kim ; Soo-Han Kim pp.189-194

Medpor craniotomy gap wedge designed to fill small bone defects along cranial bone flap Duck-Ho Goh ; Gyoung-Ju Kim ; Jaechan Park pp.195-198

Pressure measurement in carpal tunnel syndrome : correlation with electrodiagnostic and ultrasonographic findings Seong Yeol Ahn ; Youn-Ho Hong ; Young Hwan Koh ; Yeong Seob Chung ; Sang Hyung Lee ; Hee-Jin Yang pp.199-204

Time to recover consciousness in patients with diffuse axonal injury : assessment with reference to magnetic resonance grading Sung Jun Park ; Jin Woo Hur ; Ki Young Kwon ; Jong Joo Rhee ; Jong Won Lee ; Hyun Koo Lee pp.205-209

Chronic subdural hematomas : a comparative study of three types of operative procedures Joon Kook Lee ; Jong Hun Choi ; Chang Hyun Kim ; Ho Kook Lee ; Jae Gon Moon pp.210-214

Brain injuries during intraoperative ventriculostomy in the aneurysmal subarachnoid hemorrhage patients Hyung Ho Moon ; Jae Hoon Kim ; Hee In Kang ; Byung Gwan Moon ; Seung Jin Lee ; Joo Seung Kim pp.215-220

Detachable coil embolization for saccular posterior inferior cerebellar artery aneurysms Su-Gi Jeon ; Do Hoon Kwon ; Jae Sung Ahn ; Byung Duk Kwun ; Choong-Gon Choi ; Sung-Chul Jin pp.221-225

Types of thromboembolic complications in coil embolization for intracerebral aneurysms and management Hong-Ki Kim ; Sung-Kyun Hwang ; Sung-Hak Kim pp.226-231

Anterior communicating artery aneurysm related to visual symptoms Jung Hyun Park ; Sang Keun Park ; Tae Hong Kim ; Jun Jae Shin ; Hyung Shik Shin ; Yong Soon Hwang pp.232-238

Intraarterial nimodipine infusion to treat symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage Jong Hoon Kim ; In Sung Park ; Kyung Bum Park ; Dong-Ho Kang ; Soo Hyun Hwang pp.239-244

Clinical analysis of novalis stereotactic radiosurgery for brain metastases Hae-Won Gu ; Moon-Jun Sohn ; Dong-Joon Lee ; Hye Ran Lee ; Chae-Heuck Lee ; C. Jin Whang pp.245-251

A case of infantile meningioangiomatosis with a separate cyst Seong Ho Kim ; Soo Han Yoon ; Jang Hee Kim pp.252-256

Intraventricular hemorrhage long after successful encephaloduroarterio synangiosis in moyamoya patient Moon Young Chung ; Young Seok Park ; Dong-Seok Kim ; Joong-Uhn Choi pp.257-260

Endovascular treatment for common iliac artery injury complicating lumbar disc surgery : limited usfulness of temporary balloon occlusion Taek-Kyun Nam ; Seung-Won Park ; Hyung-Jin Shim ; Sung-Nam Hwang pp.261-264

Dynamic lumbar spinal stenosis : the usefulness of axial loaded MRI in preoperative evaluation Kyung-Chul Choi ; Jin-Sung Kim ; Byungjoo Jung ; Sang-Ho Lee pp.265-268

Hemifacial spasm caused by a huge tentorial meningioma Hun Park ; Sun-Chul Hwang ; Bum-Tae Kim ; Won-Han Shin pp.269-272

Median nerve stimulation in a patient with complex regional pain syndrome type Ⅱ Ik-Chan Jeon ; Min-Su Kim ; Seong-Ho Kim pp.273-276

Traumatic acute subdural hematoma extending from the posterior cranial fossa to the cerebellopontine angle Salih Gulsen ; Erkin Sonmez ; Cem Yilmaz ; Nur Altinors pp.277-280

참고문헌 (30건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Intrasellar aneurysms simulating hypophyseal tumors. 네이버 미소장
2 Pathogenesis of acute monocular blindness from leaking anterior communicating artery aneurysms: report of six cases. 네이버 미소장
3 Chong CT, Chin KJ, Yip LW, Singh K : Case series : monocular visual loss associated with subarachnoid hemorrhage secondary to ruptured intracranial aneurysms. Can J Anaesth 53 : 684-689, 2006 미소장
4 Acute retrobulbar optic neuropathy due to rupture of an anterior communicating artery aneurysm. 네이버 미소장
5 Craenen G, Brown SM, Freedman KA, Windisch TR, Corona J : Rapid, painless unilateral vision loss in an 37-year-old healthy woman. Surv Ophthalmol 49 : 343-348, 2004 미소장
6 Cerebral aneurysms presenting with visual field defects. 네이버 미소장
7 Cerebral aneurysms causing visual symptoms: their features and surgical outcome 네이버 미소장
8 Debrun GM, Aletich VA, Kehrli P, Misra M, Ausman JI, Charbel F : Selection of cerebral aneurysm for treatment using Guglielmi detachable coils : the preliminary university of Illinois at Chicago experience. Neurosurgery 43 : 1281-1295; discussion 1296-1297, 1998 미소장
9 Ferguson GG, Drake CG : Carotid-ophthalmic aneurysms : visual abnormalities in 32 patients and the results of treatment. Surg Neurol 16 : 1-8, 1981 미소장
10 The efficacy of endosaccular aneurysm occlusion in alleviating neurological deficits produced by mass effect. 네이버 미소장
11 Ischemic Optic Neuropathy Associated with Subarachnoid Hemorrhage after Rupture of Anterior Communicating Artery Aneurysm 네이버 미소장
12 Giant anterior communicating artery aneurysm with bitemporal hemianopsia: case report. 네이버 미소장
13 Cerebral vasospasm following aneurysmal subarachnoid hemorrhage. 네이버 미소장
14 Surgically Treated Anterior Communicating Artery Aneurysm 소장
15 Reduced contrast sensitivity in compressive lesions of the anterior visual pathway. 네이버 미소장
16 Posterior Ischemic Optic Neuropathy Associated With Migraine 네이버 미소장
17 Malisch TW, Guglielmi G, Vinuela F, Duckwiler G, Gobin YP,Martin NA, et al. : Unruptured aneurysms presenting with mass effect symptoms; response to endosaccular treatment with Guglielmi detachable coils. Part I. Symptoms of cranial nerve dysfunction. J Nurosurg 89 : 956-961, 1998 미소장
18 A systematic review of Terson's syndrome: frequency and prognosis after subarachnoid haemorrhage. 네이버 미소장
19 Nishino A, Sakurai Y, Arai H, Nishimura S, Suzuki S, Uenohara H : Clinical manifestations, character of aneurysms, and surgical results for unruptured cerebral aneurysms presenting with ophthalmic symptoms. Acta Neurochir Suppl 82 : 47-49, 2002 미소장
20 Clinical manifestations and surgical results for paraclinoid cerebral aneurysms presenting with visual symptoms 네이버 미소장
21 Aneurysmal compression of the anterior visual pathways. 네이버 미소장
22 Giant aneurysms of the carotid system presenting as visual field defect. 네이버 미소장
23 Terson's syndrome in spontaneous subarachnoid hemorrhage: a prospective study in 60 consecutive patients. 네이버 미소장
24 [Aneurysm of the anterior cerebral artery disclosed by unique hemianopic scotoma]. 네이버 미소장
25 Optic Cupping Caused by an Intracranial Aneurysm 네이버 미소장
26 Large suprasellar aneurysms imitating pituitary tumour. 네이버 미소장
27 Tersons syndrome in subarachnoid haemorrhage 네이버 미소장
28 Visual failure following subarachnoid haemorrhage from rupture of an anterior communicating artery aneurysm. 네이버 미소장
29 Clinical spectrum of posterior ischemic optic neuropathy 네이버 미소장
30 Thygesen J, Rosenørn J : Transient bilateral blindness in relation to subarachnoid haemorrhage caused by spastic ischemic changes in retina and optic nerve. Acta Ophthalmol (Copenh) 60 : 325-331, 1982 미소장

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