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Visual dysfunction as the initial manifestation in a case of aneurysm of anterior cerebral communicating artery Masayo Ueno 1 , Mariko Kawazoe 1 , Satoshi Okinami 1 , Shinji Kumamoto 2 , Kazuo Tabuchi 2 1Dept of Ophthalmol,Saga Med Sch 2Dept of Neurosurg,Saga Med Sch pp.857-860
Published Date 2003/5/15
DOI https://doi.org/10.11477/mf.1410101256
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Abstract. A 38-year-old woman presented with visual disturbance in her left eye since 6 weeks before. She had had episodes of migraine since 4 months before. No intracranial abnormality was detected by computerized tomography(CT)2 months before. Her corrected visual acuity was 1.5 right and 0.6 left. The left pupil showed sluggish direct reaction. Perimetry showed depression in the central and temporal visual field in the left eye. The findings were suggestive of optic neuropathy. Magnetic resonance imaging(MRI)showed a cerebral aneurysm. It was found to be located in the anterior communicating artery by angiography. During ensuing clipping surgery,the aneurysm was 3 cm in diameter and was associated with hematoma. It compressed the left optic nerve anteriorly. Her left visual acuity improved to 1.0 one week after surgery,followed by normalization of other visual functions. This case illustrates that cerebral aneurysm may induce optic neuropathy as a rare complication.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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