Small retinal hemorrhages as the only sign of an intracranial aneurysm.
OBJECTIVE
To report a woman with two small circumpapillary and nerve fiber layer hemorrhages found on routine examination.


METHODS
Case report. The patient had a history of severe headache 2 weeks previously but no other symptoms or signs.


RESULTS
Magnetic resonance imaging showed an intracranial aneurysm.


CONCLUSIONS
This potentially lethal abnormality should be considered with small unexplained retinal hemorrhages, even when the neurologic examination is normal. A history of recent headache should be sought.
Kiriakopoulos
E T
ET
Division of Neurosurgery, The University of Toronto.
Gorn
R A
RA
Barton
J J
JJ
D000328:Adult; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D009412:Nerve Fibers / Q000473:pathology; D009898:Optic Disk / Q000473:pathology*; D009900:Optic Nerve / Q000473:pathology; D011859:Radiography; D012166:Retinal Hemorrhage / Q000175:diagnosis*