Basilar artery aneurysm with autonomic features: an interesting pathophysiological problem.
Unruptured cerebral aneurysms often present with neuro-ophthalmological symptoms but ocular autonomic involvement from an aneurysm of the posterior circulation has not previously been reported. A patient is described with a basilar artery aneurysm presenting with headache and unilateral autonomic symptoms. After angiographic coiling of the aneurysm there was a near complete resolution of these features. The relevant anatomy and proposed mechanism of autonomic involvement of what may be considered--from a pathophysiological perspective as a secondary trigeminal-autonomic cephalgia--is discussed
Giffin
N J
NJ
Headache Group, Institute of Neurology, Queen Square, London WC1N 3BG, UK.
Goadsby
P J
PJ
D001342:Autonomic Nervous System Diseases / Q000209:etiology*; D001763:Blepharoptosis / Q000209:etiology*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D008875:Middle Aged; D015877:Miosis / Q000209:etiology*; D012018:Reflex; D012220:Rhinitis / Q000209:etiology*; D013666:Tears / Q000378:metabolism; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020433:Trigeminal Nerve Diseases / Q000209:etiology*