We report the case of a 50-year-old man with the chief complaint of narrowing of the visual fields and blurring in his right eye. He had undergone coiling for bilateral aneurysms of the ophthalmic segment of the internal carotid arteries 15 months previously. Angiography showed re-growth of the left ophthalmic aneurysm. The patient underwent clipping and resection the coiled aneurysm. Following surgery his visual fields improved. Therefore, re-growth of aneurysms following coiling sometimes requires resection for decompression.
DateIAsariSOhmotoT: Cerebral aneurysms causing visual symptoms: Their features and surgical outcome. Clinical Neurology and Neurosurgery100: 259–267, 1998.
2.
FergusonGGDrakeCG: Carotid-ophthalmic aneurysms: Visual abnormalities in 32 patients and the results of treatment. Surg Neurol16: 1–8, 1981.
3.
NonakaTHaraguchiK: Clinical manifestation and surgical results for paraclinoid cerebral aneurysms presenting with visual symptoms. Surg Neurol67: 612–619, 2007.
4.
HerosRCNelsonPB: Large and giant paraclinoid aneurysms: Surgical techniques, complication and results. Neurosurgery12: 153–163, 1983.
5.
TriboletND: Editorial: Large ophthalmic segment aneurysms. J Neurosurg106: 965–967, 2007.
6.
HeranNSSongJK: Large ophthalmic segmen aneurysms with anterior optic pathway compression: Assessment of anatomical and visual outcomes after endovascular coil theraphy. J Neurosurg106: 968–975, 2007.
7.
VargasMEKupersmithMJ: Endovascular treatment of giant aneurysms which cause visual loss. Ophthalmology101: 1091–1098, 1994.
8.
BaikSKSohnCHWooSK: Bilateral distal posterior cerebral artery — A case report of endovascular treatment and literature review. Interventional Neuroradiology10: 231–234, 2004.
9.
HalbachVVRandallTH: The efficacy of endosaccular aneurysm occlusion in alleviating neurological deficits produced by mass effect. J Neurosurg80: 659–666, 1994.
10.
KazekawaKTsutsumiM: Internal carotid aneurysms presenting with mass effect symptoms of cranial nerve dysfunction: Efficacy and limitation of endovascular embolization with GDC. Radiation Medicine21 (2): 80–85, 2003.
11.
MansourNKamelMH: Resolution of cranial nerve paresis after endovascular management of cerebral aneurysms. Surg Neurol68: 500–504, 2007.
12.
MalischTWGuglielmiG: Unruptured aneurysms presenting with mass effect symptoms: Response to endosaccular treatment with Guglielmi detachable coils. Part I. Symptom of cranial nerve dysfunction. J Neurosurg89: 956–961, 1998.
13.
SluzewskiMRooijWJ: Relation between aneurysm volume, packing and compaction in 145 cerebral aneurysms treated with coils. Radiology231: 653–658, 2004.
