血管内治疗未破裂的前交通动脉瘤伴急性垂直视野缺损：一例报告
Endovascular treatment of an unruptured anterior communicating artery aneurysm presenting with acute altitudinal visual field defect: A case report.
作者信息
Abrishami Majid, Baharvahdat Humain, Hosseini SeyedehMaryam, Ganjeifar Babak
机构信息
Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
J Curr Ophthalmol. 2017 Nov 7;30(2):177-181. doi: 10.1016/j.joco.2017.10.001. eCollection 2018 Jun.
PURPOSE
To describe a case of endovascular occlusion of an unruptured anterior communicating artery aneurysm presenting with acute altitudinal visual field defect is presented here.
METHODS
A 52-year-old man was evaluated and treated for altitudinal visual field defect in the right eye.
RESULTS
In ophthalmic and neuro-imaging, an accompanying anterior communication artery aneurysm was detected as a cause of visual field defect. He underwent endovascular procedure, yielding excellent outcome as full recovery of visual field defect was observed one month following the procedure and sustained when followed at month 24.
CONCLUSIONS
Visual dysfunction is a rare presentation of unruptured anterior communication artery aneurysm. Endovascular procedure may be a safe treatment in these cases.
目的
本文介绍一例未破裂的前交通动脉瘤血管内闭塞病例，该病例表现为急性垂直视野缺损。
方法
对一名52岁男性进行评估并治疗其右眼垂直视野缺损。
结果
在眼科和神经影像学检查中，发现一个伴随的前交通动脉瘤是视野缺损的原因。他接受了血管内治疗，效果良好，术后一个月视野缺损完全恢复，随访至24个月时仍保持恢复状态。
结论
视觉功能障碍是未破裂的前交通动脉瘤的罕见表现。在这些病例中，血管内治疗可能是一种安全的治疗方法。
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