Photophobia as the visual manifestation of chiasmal compression by unruptured anterior communicating artery aneurysm. Case report.
A 37-year-old woman presented with photophobia without visual loss associated with chiasmal compression by an unruptured anterior communicating artery (AcomA) aneurysm. She had suffered progressive photophobia for one year. Neuroimaging indicated an AcomA aneurysm attached to the chiasm. Photophobia was resolved following clipping of the aneurysm. AcomA aneurysm should be considered in patients who experience photophobia without visual loss.
Hagihara
Naoshi
N
Department of Neurosurgery, Koyanagi Memorial Hospital, 230-2 Morodomitsu, Morodomi-cho, Saga, Japan. qbtsn527@ybb.ne.jp
Abe
Toshi
T
Yoshioka
Fumitaka
F
Watanabe
Mitsuo
M
Tabuchi
Kazuo
K
D000328:Adult; D002533:Cerebral Angiography; D002941:Circle of Willis / Q000000981:diagnostic imaging / Q000473:pathology*; D019299:Decompression, Surgical; D018450:Disease Progression; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures; D009897:Optic Chiasm / Q000473:pathology* / Q000503:physiopathology; D020795:Photophobia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology*; D013525:Surgical Instruments; D016896:Treatment Outcome; D015354:Vision, Low; D014795:Visual Pathways / Q000473:pathology / Q000503:physiopathology