Severe inflammatory reaction of the optic system after endovascular treatment of a supraophthalmic aneurysm with bioactive coils.
We report on a patient who, after a symptom-free interval, developed severe vision impairment and whose MR imaging demonstrated extensive edema in the central nervous tissue neighboring the treated aneurysm. To our knowledge, this is an unreported complication of endovascular treatment of aneurysms.
Stracke
C P
CP
Department of Radiology, University of Cologne, Cologne, and Department of Neuroradiology, University Hospital, Aachen, Germany. strackenpaul@aol.com
Krings
T
T
Möller-Hartmann
W
W
Mahdavi
A
A
Klug
N
N
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000150:complications / Q000628:therapy*; D003907:Dexamethasone / Q000627:therapeutic use; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000295:instrumentation*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000628:therapy*; D008875:Middle Aged; D009902:Optic Neuritis / Q000188:drug therapy / Q000209:etiology*; D014786:Vision Disorders / Q000209:etiology* / Q000517:prevention & control
D000893:Anti-Inflammatory Agents; D003907:Dexamethasone
Dermatol Surg. 1998 Oct;24(10):1054-8
9793513
Lancet. 2003 Jul 12;362(9378):103-10
12867109
Neurosurgery. 2006 Jun;58(6):E1217; discussion E1217
16723875
AJNR Am J Neuroradiol. 2006 Feb;27(2):283-8
16484393
J Neuroophthalmol. 2000 Dec;20(4):253-8
11130752
J Dermatol. 1998 Feb;25(2):85-9
9563274
Front Biosci. 2004 Jan 01;9:283-9
14766366
AJNR Am J Neuroradiol. 2006 Apr;27(4):736-41
16611755