Visual loss and a suprasellar mass complicated by pregnancy.
A 43-year-old woman who was 12 weeks pregnant presented with a one-month history of visual loss in the right eye. Neuroimaging studies revealed multiple intracranial aneurysms, one of which compressed the right optic nerve. Her pregnancy raised many issues concerning her management. Evidence of aneurysm enlargement and the increased risk of aneurysm rupture as gestation progressed led to early, successful surgical intervention.
Shutter
L A
LA
Department of Neurology, University of Alabama School of Medicine, Birmingham.
Kline
L B
LB
Fisher
W S
WS
D000328:Adult; D015901:Angiography, Digital Subtraction; D001766:Blindness / Q000175:diagnosis* / Q000209:etiology; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D002343:Carotid Artery, Internal / Q000601:surgery; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*