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Intracranial aneurysms.

Molly E Gilbert1, Robert C Sergott

  • 1Neurophthalmology Service, Wills Eye Hospital, Philadelphia, Pennsylvania 19107, USA. mollymegv@aol.com

Current Opinion in Ophthalmology
|October 27, 2006
PubMed
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This review covers neuroophthalmic symptoms of cavernous and posterior communicating artery aneurysms. It details current diagnosis, treatment, and follow-up strategies for optimal patient management.

Area of Science:

  • Neuro-ophthalmology
  • Vascular Neurology
  • Neurosurgery

Background:

  • Cavernous aneurysms and posterior communicating artery aneurysms present unique neuroophthalmic challenges.
  • Understanding their natural history and treatment outcomes is crucial for patient care.

Purpose of the Study:

  • To review neuroophthalmic manifestations of cavernous and posterior communicating artery aneurysms.
  • To outline current diagnosis and treatment options.
  • To discuss post-treatment follow-up and complication assessment.

Main Methods:

  • Systematic review of the natural history of cavernous aneurysms.
  • Comparative analysis of coiling versus clipping for posterior communicating artery aneurysms.
  • Literature synthesis on diagnostic and therapeutic approaches.

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Main Results:

  • Recent systematic follow-up of cavernous aneurysm natural history provides new insights.
  • Comparative studies on coiling and clipping for posterior communicating artery aneurysms offer guidance for treatment selection.
  • Established protocols for diagnosis and management are presented.

Conclusions:

  • Effective management involves accurate diagnosis, appropriate treatment selection, and vigilant follow-up.
  • Assessment for complications post-treatment is a critical component of patient care.
  • This review provides a comprehensive guide for clinicians managing these complex vascular lesions.