Unruptured Giant Intracranial Aneurysm of the Internal Carotid Artery: Late Ocular Symptoms.
An unruptured giant intracranial aneurysm of the internal carotid artery may tend to present with late ocular symptoms. This is the case of a 58-year-old female patient with a giant unruptured aneurysm of the right internal carotid artery. The patient presented with exclusively progressive reduction of visual acuity and visual field defects due to the mass effect of the growing aneurysm. The rupture of the aneurysm occurred before planned treatment. Clinical suspicion and timely recognition as well as prompt treatment play an important role in the final outcome of the management of giant unruptured intracerebral aneurysms.
a University Department of Ophthalmology, University Clinical Center "Sestre Milosrdnice," , Zagreb , Croatia.
Mia
M
Zorić Geber
a University Department of Ophthalmology, University Clinical Center "Sestre Milosrdnice," , Zagreb , Croatia.
Iva
I
Krolo
a University Department of Ophthalmology, University Clinical Center "Sestre Milosrdnice," , Zagreb , Croatia.
Ognjen
O
Zrinscak
a University Department of Ophthalmology, University Clinical Center "Sestre Milosrdnice," , Zagreb , Croatia.
Eugenia
E
Tedeschi Reiner
b University Department of Neurosurgery, University Clinical Center "Sestre Milosrdnice," , Zagreb , Croatia.
Dario Josip
DJ
Zivkovic
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging*; D002343:Carotid Artery, Internal; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000175:diagnosis / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology; D014794:Visual Fields / Q000502:physiology
Aneurysm size; anterior intracranial circulation; mass effect; subarachnoid hemorrhage; vascular abnormalities; visual field defect