Acute bilateral vision loss after endovascular treatment of an intracranial aneurysm

Wien Med Wochenschr. 2024 Apr;174(5-6):123-125. doi: 10.1007/s10354-023-01015-7. Epub 2023 Apr 20.

Abstract

Acute bilateral vision loss (ABVL) is a rare and challenging diagnostic issue that is most often caused by a neurological disorder. Since it can be the presenting symptom of potentially life-threatening diseases, priority should be given to excluding such diagnoses. Special caution is required if ABVL symptoms result after an intracranial intervention. This article reports on a diagnostic approach for a patient suffering from ABVL due to vitreous hemorrhage related to a subarachnoid hemorrhage (SAH) after endovascular intracranial aneurysm treatment. This case study highlights the importance of imaging interpretation and its consequences.

Keywords: Acute blindness; Blurry vision; Intracranial hemmorhage; Ophthalmology; Terson syndrome.

MeSH terms

  • Humans
  • Intracranial Aneurysm* / diagnostic imaging
  • Intracranial Aneurysm* / surgery
  • Subarachnoid Hemorrhage* / diagnostic imaging
  • Subarachnoid Hemorrhage* / etiology
  • Subarachnoid Hemorrhage* / surgery
  • Vitreous Hemorrhage / complications
  • Vitreous Hemorrhage / diagnosis