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Intracranial ophthalmic artery aneurysm
American Journal of Ophthalmology
|August 1, 1975
Summary
A ruptured carotid-ophthalmic artery aneurysm caused sudden vision loss and pupil changes. This rare event led to the patient's death, highlighting the critical nature of such vascular conditions.
Area of Science:
- Neuro-ophthalmology
- Vascular Neurology
- Medical Imaging
Background:
- Carotid-ophthalmic artery aneurysms are rare cerebrovascular diseases.
- Aneurysm rupture can lead to severe neurological deficits and mortality.
Purpose of the Study:
- To report a case of sudden vision loss due to a ruptured carotid-ophthalmic artery aneurysm.
- To emphasize the clinical presentation and fatal outcome associated with this condition.
Main Methods:
- Case report of a 45-year-old man with sudden left eye vision loss.
- Clinical examination revealing a mid-dilated pupil and ipsilateral eye pain.
- Documentation of a temporal visual field defect in the affected eye.
Main Results:
- The patient presented with acute neuro-ophthalmic symptoms.
- A spontaneous rupture of the carotid-ophthalmic artery aneurysm was confirmed.
- The aneurysm rupture resulted in the patient's death.
Conclusions:
- Ruptured carotid-ophthalmic artery aneurysms present with abrupt visual disturbances.
- Prompt diagnosis and management are crucial, though rupture carries a high mortality risk.
- This case underscores the potential for catastrophic outcomes from unruptured or ruptured aneurysms in this location.