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Japanese

A CASE OF MULTIPLE FUSIFORM ANEURYSMS PRESENTING HOMONYMOUS HEMIANOPSIA Kazuyoshi Amano 1 , Toshihide Nukada 1 , Hiroshi Hatanaka 1 1Department of Neurosurgery, Teikyo University School of Medicine pp.1263-1268
Published Date 1979/12/1
DOI https://doi.org/10.11477/mf.1406204512
  • Abstract
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Fusiform Aneurysms are encountered in elderly persons with advanced arteriosclerosis.

When they are enlarged to compress the neigh-boring structures, they may resemble tumors symptomatically. Especially when situated in close relation to the optic nerve or chiasmatic region, pituitary tumor is likely to be suspected.

This is a case of 62 year old female with a giant fusiform aneurysm of the right internal carotid artery extending to the middle cerebral artery which caused left homonymous hemianopsia and a large aneurysm in the cavernous portion of the left internal carotid artery with fusiform extension of the distal portion of the carotid artery which presented left blepharoptosis, dilated pupil and total ophthalmoplegia. The basilar artery and the right meningohypophyseal artery showed fusiform dila-tation as well. Systemic atherosclerotic change, abdominal aortic aneurysm, nephroclerosis were also accompanied.

The computed tomography demonstrated the aneurysms distinctly.

Left oculomotor palsy disappeared after six months with residue of left homonymous hemianopsia.

Surgical intervention was not attempted, because of the widely distributed constitutional aneurysms in the whole body.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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