J Korean Neurosurg Soc.  1992 Apr;21(4):454-461.

2 Cases of Anterior Communicating Artery Aneurysms Associated with Visual Symptoms

• Son BC
• Lee SW
• Kang JK
• Choi CR

Abstract

Interference with visual pathways is usually not caused by intracranial aneurysms. Aneurysms of the anterior communicating artery rarely produce visual symptoms and signs in spite of their proximity to the visual pathways. The reason may be that these aneurysms rupture and present with subarachnoid hemorrhage before becoming large enough to exert significant pressure on the chiasm or optic nerves. The visual symptoms would be presented as visual field defect or impaired vision. These can be explained as the result of direct compression of the optic pathways, ischemic changes in the visual pathways caused by severe vasospasm after subarachnoid hemorrhage, or intraocular pathology such as retinal hemorrhage. 2 cases of anterior communicating artery aneurysms associated with visual symptoms are presented with a brief review of literatures.

Keyword

Visual pathway; Anterior-communicating artery aneurysm; Vasospasm

MeSH Terms

Aneurysm
Arteries
Intracranial Aneurysm*
Optic Nerve
Pathology
Retinal Hemorrhage
Rupture
Subarachnoid Hemorrhage
Visual Fields
Visual Pathways