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Computed Tomographic Angiogram of an Anterior Communicating Artery Aneurysm Causing Acute Retrobulbar Optic Neuropathy: A Case Report

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Three-dimensional computed tomographic (3D-CT) angiography is a widespread imaging modality for intracranial vascular lesions. However, 3D-CT angiograms of an anterior communicating artery aneurysm associated with acute retrobulbar optic neuropathy have not been previously described. We present 3D-CT angiograms of an aneurysm of the anterior communicating artery that caused subarachnoid hemorrhage and vision loss in a 39-year old man. The 3D-CT angiograms were consistent with findings identified directly during surgery.

Abstract

Three-dimensional computed tomographic (3D-CT) angiography is a widespread imaging modality for intracranial vascular lesions. However, 3D-CT angiograms of an anterior communicating artery aneurysm associated with acute retrobulbar optic neuropathy have not been previously described. We present 3D-CT angiograms of an aneurysm of the anterior communicating artery that caused subarachnoid hemorrhage and vision loss in a 39-year old man. The 3D-CT angiograms were consistent with findings identified directly during surgery.

참고문헌 (6)

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  2. Alberico RA, "Evaluation of the circle of Willis with three-dimensional CT angiography in patients with suspected intracranial aneurysms", AJNR Am J Neuroradiol, 16, pp.1571~1578 (1995)
  3. Thijs V, "Imaging techniques for acute ischemic stroke:nice gadgets or essential tools for effective treatment?", Neuroradiology, 52, pp.169~171 (2010)
  4. Craenen G, "Rapid,painless unilateral vision loss in a 37-year-old healthy woman", Surv Ophthalmol, 49, pp.343~348 (2004)
  5. Chan JW, "Pathogenesis of acute monocular blindness from leaking anterior communicating artery aneurysms:report of six cases", Neurology, 48, pp.680~683 (1997)
  6. Hara N, "Ischemic optic neuropathy associated with subarachnoid hemorrhage after rupture of anterior communicating artery aneurysm", Ophthalmologica, 217, pp.79~84 (2003)

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