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Updated: Jul 1, 2026
09:57
Electromagnetic Source Imaging in Presurgical Evaluation of Children with Drug-Resistant Epilepsy
Published on: September 20, 2024
[Sudden visual loss in a 7-year old patient]
M Brandner1, S Lindner, A Langmann
1Ambulanz für Schielen, Kinderophthalmologie und Rehabilitation Sehbehinderter, Augenklinik der Medizinischen Universität Graz, Graz, Austria. brandner.martina@gmx.at
Summary
A young boy experienced sudden vision loss due to a giant supraclinoid aneurysm. Treatment involved endovascular balloon occlusion and extracranial-intracranial bypass to restore blood flow.
Area of Science:
- Neuroscience
- Ophthalmology
- Vascular Surgery
Background:
- Congenital glaucoma treated with trabeculotomy in infancy.
- Regular monitoring of intraocular pressure and fundus examination.
Observation:
- A 7-year-old boy presented with acute bilateral visual acuity decrease.
- Imaging revealed a giant supraclinoid aneurysm of the right internal carotid artery.
Findings:
- Endovascular balloon occlusion of the internal carotid artery was performed.
- An extracranial-intracranial bypass was utilized to improve cerebral circulation.
Implications:
- This case highlights the importance of considering vascular abnormalities in pediatric vision loss.
- Successful management of giant supraclinoid aneurysms can be achieved with combined endovascular and surgical techniques.
- Early diagnosis and intervention are crucial for preserving visual function in complex cerebrovascular cases.
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