Hagihara Naoshi, Abe Toshi, Yoshioka Fumitaka, Watanabe Mitsuo, Tabuchi Kazuo
Department of Neurosurgery, Koyanagi Memorial Hospital, 230-2 Morodomitsu, Morodomi-cho, Saga, Japan.
Neurol Med Chir (Tokyo). 2009 Apr;49(4):159-61. doi: 10.2176/nmc.49.159.
A 37-year-old woman presented with photophobia without visual loss associated with chiasmal compression by an unruptured anterior communicating artery (AcomA) aneurysm. She had suffered progressive photophobia for one year. Neuroimaging indicated an AcomA aneurysm attached to the chiasm. Photophobia was resolved following clipping of the aneurysm. AcomA aneurysm should be considered in patients who experience photophobia without visual loss.
一名37岁女性因未破裂的前交通动脉（AcomA）动脉瘤压迫视交叉而出现畏光症状，但无视力丧失。她渐进性畏光已达一年。神经影像学检查显示一个附着于视交叉的AcomA动脉瘤。动脉瘤夹闭术后畏光症状消失。对于出现畏光但无视力丧失的患者，应考虑AcomA动脉瘤。
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