Aneurysms Involving the Motor and Sensory Visual Pathways

  • Mark J. Kupersmith
Chapter

Abstract

Intracranial aneurysms can cause patients to present with blurring, decreased vision, diplopia, or ptosis so that ophthalmologic consultation is sought early. However, most patients with saccular aneurysms of the intradural arteries present with focal or diffuse headaches, a stiff neck, and an altered state of consciousness, because of a subarachnoid hemorrhage (SAH). Depending upon the location of the aneurysm and the direction of the rupture, a hemorrhage will develop in the brain parenchyma, the ventricular system, the subarachnoid space, or in some combination of these. The high frequency of severe morbidity and mortality following a hemorrhage and secondary vasospasm makes diagnosis prior to a bleed essential [1]. This is often possible because many aneurysms cause signs and symptoms of sensory visual loss or lid, pupil, or oculomotor dysfunction before rupturing.

Keywords

Internal Carotid Artery Cavernous Sinus Basilar Artery Artery Aneurysm Mycotic Aneurysm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • Mark J. Kupersmith
    • 1
  1. 1.Director of Neuro-ophthalmology New York Eye and Ear InfirmaryNew York University Medical CenterNew YorkUSA

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