Improvement of Visual Field Defects after Neuroembolization Treatment of Intracranial Aneurysms. Case Reports
Language English Country Czech Republic Media print
Document type Case Reports, Journal Article
PubMed
38365581
DOI
10.31348/2024/8
PII: 136524
Knihovny.cz E-resources
- Keywords
- intracranial aneurysm, impaired vision, perimetry, headache, embolization, flow diverter, endovascular,
- MeSH
- Headache complications MeSH
- Intracranial Aneurysm * complications therapy MeSH
- Humans MeSH
- Vision Disorders etiology MeSH
- Retrospective Studies MeSH
- Stents adverse effects MeSH
- Treatment Outcome MeSH
- Visual Fields MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
PURPOSE: Intracranial aneurysms and their hemorrhagic and thromboembolic complications represent a serious nosological unit that significantly endangers those afflicted. They are mostly asymptomatic until rupture occurs. In two case reports, we present our observations of young patients with impaired vision and headaches, in whom we found the presence of intracranial aneurysms. OBSERVATIONS: Presentation of two case reports of patients who came to our department with impaired vision and headaches. The patients underwent a complete eye examination at our center, including a visual field examination. Based on the results of the examination, they were referred for an imaging examination of the brain, which revealed the presence of intracranial aneurysms. The patients were subsequently sent to the interventional neuroradiology center, where they underwent a noninvasive endovascular neuroembolization procedure with flow diverter implantation. We continued to monitor the patients after the procedure and document the examination results up to 1 year after the procedure. CONCLUSIONS AND SIGNIFICANCE: Thanks to the fast detection, diagnosis, and management of both patients, we prevented the occurrence of aneurysm rupture, thus a life-threatening complication. After endovascular procedures with flow diverter implantation, we observed a significant improvement in visual acuity as well as perimetric findings in both patients. When intracranial aneurysms are found within a week of the onset of eye symptoms and treated within three months, defects in the visual fields improved in our two patients within 6-12 months, and in one of the two patients the defects almost completely disappeared.
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