The Neuro-ophthalmic Presentation of Intracranial Aneurysms
Journal of the Korean Ophthalmological Society
; : 1276-1281, 2017.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-74532
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To investigate the neuro-ophthalmic diagnosis and clinical manifestations of intracranial aneurysm.METHODS:
A retrospective survey of 33 patients who were diagnosed with intracranial aneurysm and underwent neuro-ophthalmic examination from April 2008 to December 2016. Frequency of the first diagnosis of intracranial aneurysm in ophthalmology, neuro-ophthalmic diagnosis, location of intracranial aneurysm, examination of intracranial aneurysm rupture, and neurologic prognosis of Terson's syndrome patients were analyzed by image examination, neurosurgery, and ophthalmology chart review.RESULTS:
Of the 33 patients, most patients (n = 31, 94%) were diagnosed with intracranial aneurysm at the neurosurgical department and only 2 patients were diagnosed initially at the ophthalmology department. Causes and association were Terson's syndrome (n = 10, 30%), third cranial nerve palsy (n = 10, 30%), internclear ophthalmoplegia (n = 4, 12%), visual field defect (n = 3, 9%), optic atrophy (n = 3, 9%), sixth cranial nerve palsy (n = 2, 6%), and nystagmus (n = 1, 3%). The location of intracranial aneurysms were anterior communicating artery (n = 13, 39%), medial communicating artery (n = 12, 36%), and posterior communicating artery (n = 5, 15%). Ten of 33 patients had Terson's syndrome, and 6 patients (60%) with Terson's syndrome had apermanent neurological disorder such as agnosia, gait disorder and conduct disorder.CONCLUSIONS:
Third cranial nerve palsy was the most common neuro-ophthalmic disease in patients presenting with intracranial aneurysm. The neuro-ophthalmic prognoses for those diseases were relatively good, but, if Terson's syndrome was present, neurological disorders (agnosia, gait disorder, conduct disorder) were more likely to remain after treatment.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Ophthalmology
/
Paralysis
/
Arteries
/
Prognosis
/
Rupture
/
Visual Fields
/
Intracranial Aneurysm
/
Ophthalmoplegia
/
Optic Atrophy
/
Retrospective Studies
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2017
Document type:
Article