Anterior communicating artery aneurysm presenting as monocular blindness

Br J Neurosurg. 2011 Oct;25(5):644-6. doi: 10.3109/02688697.2010.544782. Epub 2011 Feb 23.

Abstract

Anterior communicating artery (AcomA) aneurysm presenting with rapidly progressing monocular visual loss is rare. We present one such case masquerading as retrobulbar optic neuritis, with no improvement following steroid therapy. Monocular blindness was due to compression of the optic nerve by a large AcomA aneurysm, which was detected after rupture.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Ruptured / complications
  • Aneurysm, Ruptured / diagnostic imaging*
  • Angiography, Digital Subtraction
  • Anti-Inflammatory Agents / administration & dosage
  • Blindness / diagnosis
  • Blindness / etiology*
  • Diagnosis, Differential
  • Female
  • Headache / etiology
  • Humans
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / diagnostic imaging*
  • Magnetic Resonance Imaging
  • Methylprednisolone / administration & dosage
  • Optic Nerve / pathology
  • Optic Neuritis / diagnosis*
  • Young Adult

Substances

  • Anti-Inflammatory Agents
  • Methylprednisolone