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Title
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Complete transection of optic nerve after endovascular coiling of a large ophthalmic artery aneurysm
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Author
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Abstract
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| BACKGROUND: We describe a patient who developed delayed blindness of the left eye at 5 weeks after endovascular coiling of a large ophthalmic aneurysm. CASE DESCRIPTION: A 44-year-old male was admitted with visual decline due to compression of the optic nerve by a large ophthalmic aneurysm. The aneurysm was treated by endovascular coiling, but visual function was unchanged. One month and 7 days later, the patient developed sudden blindness of the affected eye, despite complete angiographical occlusion of the aneurysm. Surgical exploration in an attempt to restore vision showed a fully thrombosed aneurysm but, surprisingly, complete transection of the optic nerve just proximal to its entry into the optic canal. CONCLUSIONS: This report describes a rare complication of a sudden increase in size of a large ophthalmic aneurysm despite successful endovascular occlusion. |
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Language
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English
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Source (journal)
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World neurosurgery
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Publication
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2019
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ISSN
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1878-8750
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DOI
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10.1016/J.WNEU.2019.08.154
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Volume/pages
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132
(2019)
, p. 81-86
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ISI
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000496966300134
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Pubmed ID
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31476463
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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