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Decrease of Visual Fields Due to Re-growth of a Big Aneurysm after Coiling. A case report.

H Harsan1, J W Eka, J Julius

  • 1Neurosurgery Department, Siloam Hospital, Lippo Karawaci, Indonesia - Medical Faculty, Pelita Harapan University, Tangerang, Indonesia - harsandijp@yahoo.com.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
|June 19, 2010
PubMed
Summary
This summary is machine-generated.

Recurrent ophthalmic artery aneurysms after coiling may necessitate surgical resection for visual decompression. This case highlights the need for monitoring and potential intervention for aneurysm re-growth following endovascular treatment.

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Area of Science:

  • Neuroscience
  • Vascular Surgery
  • Ophthalmology

Background:

  • Bilateral aneurysms of the ophthalmic segment of internal carotid arteries pose risks.
  • Endovascular coiling is a common treatment for intracranial aneurysms.
  • Aneurysm re-growth after coiling can occur, potentially leading to complications.

Purpose of the Study:

  • To report a case of recurrent aneurysm after coiling.
  • To illustrate the management of visual field defects caused by aneurysm re-growth.
  • To emphasize the role of surgical resection in specific cases of aneurysm recurrence.

Main Methods:

  • A 50-year-old male patient presented with visual field narrowing and blurring.
  • Previous treatment involved coiling for bilateral internal carotid artery ophthalmic segment aneurysms.
  • Repeat angiography revealed re-growth of the left ophthalmic aneurysm.
  • Surgical intervention included clipping and resection of the recurrent aneurysm.

Main Results:

  • The patient experienced improvement in visual fields after surgical resection.
  • Angiography confirmed successful clipping and resection of the recurrent aneurysm.
  • No immediate post-operative complications were reported.

Conclusions:

  • Re-growth of aneurysms following endovascular coiling is a possibility.
  • Surgical resection may be required for decompression in cases of recurrent aneurysms causing visual symptoms.
  • This case underscores the importance of long-term surveillance and tailored treatment strategies for ophthalmic artery aneurysms.