title: [Anterior optic pathways compression by a surgical clip mobilized by delayed chronic hydrocephalus after treatment of a ruptured anterior communicating artery aneurysm].
abstract: Chronic hydrocephalus is a classic and recognized complication that affects 6 to 37% of patients with aneurysmal subarachnoid haemorrhage. The diagnosis is often mentioned due to the delayed onset of gait disturbance and slower psychomotor performance. The CT-scan confirms the diagnosis by showing an enlargement of the ventricles. In case of symptomatic hydrocephalus, a ventriculo-peritoneal shunt is often required. The authors report a rare case of chronic hydrocephalus presenting with visual symptoms, due to the delayed mobilisation of a surgical clip with direct mass effect over the anterior optic pathways. The treatment of hydrocephalus led to a rapid and complete regression of symptoms.
authors: Pôle de neurochirurgie, hôpital Roger-Salengro, CHU de Lille, rue Emile-Laine, 59000 Lille, France. fahed.zairi@gmail.com
authors: F
authors: F
authors: Zaïri
authors: L
authors: L
authors: Thines
authors: P
authors: P
authors: Bourgeois
authors: M
authors: M
authors: Ayachi
authors: J-P
authors: JP
authors: Lejeune
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002552:Cerebral Ventricles / Q000473:pathology; D006801:Humans; D006849:Hydrocephalus / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D009408:Nerve Compression Syndromes / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D009901:Optic Nerve Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013525:Surgical Instruments / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt