Bilateral Blindness After Incomplete Coiling of Small Anterior Cerebral Artery Aneurysm: Case Report and Review of Literature | Canada Hyperbarics Skip to main content
Case Report World Neurosurg 2019

Bilateral Blindness After Incomplete Coiling of Small Anterior Cerebral Artery Aneurysm: Case Report and Review of Literature

Yang X, Wang X, Zhang R, Zhang H — World Neurosurg, 2019

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers reported on a rare case of bilateral blindness that occurred after a patient underwent incomplete coiling for a small brain aneurysm.

What They Found

A 50-year-old man developed decreased vision starting 13 days after incomplete coil embolization of a small anterior cerebral artery aneurysm. Despite initial improvement with steroid therapy, his vision deteriorated again, leading to an urgent craniotomy for optic nerve decompression. Ultimately, the patient became bilaterally blind, even with treatments like hyperbaric oxygen and neurotrophy drugs.

What This Means for Canadian Patients

This case report suggests that Canadian patients undergoing endovascular coiling for brain aneurysms, even small ones, should be closely monitored for any changes in vision. Prompt medical attention, including imaging and potential surgical intervention, may be crucial if vision problems arise after the procedure to try and prevent permanent blindness.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

As a single case report, the findings of this study cannot be broadly applied to all patients undergoing aneurysm coiling.

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Study Details

Study Type Case Report
Category Decompression Sickness
Source Pubmed
PubMed ID 30898735
Year Published 2019
Journal World Neurosurg
MeSH Terms Aneurysm, Ruptured; Angiography, Digital Subtraction; Blindness; Cerebral Angiography; Craniotomy; Decompression, Surgical; Endovascular Procedures; Humans; Intracranial Aneurysm; Male; Middle Aged; Postoperative Complications; Subarachnoid Hemorrhage; Treatment Outcome

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.