RT Journal Article
SR Electronic
T1 Aneurysmal compression of the anterior visual pathways
JF Neurology
JO Neurology
FD Lippincott Williams & Wilkins
SP 1035
OP 1035
DO 10.1212/WNL.36.8.1035
VO 36
IS 8
A1 Norwood, Eston G.
A1 Kline, Lanning B.
A1 Chandra-Sekar, B.
A1 Harsh, Griffith R.
YR 1986
UL http://n.neurology.org/content/36/8/1035.abstract
AB Ten patients with aneurysmal compression of the anterior visual pathways had visual loss, unilateral in 4 and bilateral in 6. There was no typical clinical presentation. Visual loss was acute or gradual, acuity sometimes fluctuated, and visual field testing was highly variable. The aneurysms were supraclinoid (four patients), carotid-ophthalmic (two), anterior communicating-anterior cerebral (three), and intracavernous carotid (one). Nine patients had successful clipping of their aneurysm, and in one, ipsilateral common carotid ligation was performed. Postoperatively, visual acuity was improved in six cases, unchanged in three, and worse in one.