Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature

We present the case of a 78-year-old patient with a large right internal carotid artery aneurysm found incidentally after 2-weeks of blurry vision without headache. The patient underwent endovascular coiling of the aneurysm with flow diverting stent placement for vessel reconstruction. The patient d...

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Autores principales:	Casey Spinelli, Aaron S. Dumont, Arthur Wang
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Homonymous hemianopia Delayed Internal carotid artery aneurysm Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2fd6972dcc544c44801cfdd33f1b4754
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spelling	oai:doaj.org-article:2fd6972dcc544c44801cfdd33f1b47542021-11-04T04:31:22ZDelayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature2214-751910.1016/j.inat.2021.101412https://doaj.org/article/2fd6972dcc544c44801cfdd33f1b47542022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214751921003248https://doaj.org/toc/2214-7519We present the case of a 78-year-old patient with a large right internal carotid artery aneurysm found incidentally after 2-weeks of blurry vision without headache. The patient underwent endovascular coiling of the aneurysm with flow diverting stent placement for vessel reconstruction. The patient developed a left homonymous hemianopia two weeks after treatment. Magnetic resonance imaging demonstrated aneurysm expansion with perianeurysmal edema in the thalamus, basal ganglia and mild compression of the optic chiasm. The patient was started on high dose dexamethasone and his vision slowly improved over the next several months. This is a rare case of expansion of a coiled large cerebral aneurysm with mass effect on the anterior visual pathway.Casey SpinelliAaron S. DumontArthur WangElsevierarticleHomonymous hemianopiaDelayedInternal carotid artery aneurysmSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENInterdisciplinary Neurosurgery, Vol 27, Iss , Pp 101412- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Homonymous hemianopia Delayed Internal carotid artery aneurysm Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Homonymous hemianopia Delayed Internal carotid artery aneurysm Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Casey Spinelli Aaron S. Dumont Arthur Wang Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature
description	We present the case of a 78-year-old patient with a large right internal carotid artery aneurysm found incidentally after 2-weeks of blurry vision without headache. The patient underwent endovascular coiling of the aneurysm with flow diverting stent placement for vessel reconstruction. The patient developed a left homonymous hemianopia two weeks after treatment. Magnetic resonance imaging demonstrated aneurysm expansion with perianeurysmal edema in the thalamus, basal ganglia and mild compression of the optic chiasm. The patient was started on high dose dexamethasone and his vision slowly improved over the next several months. This is a rare case of expansion of a coiled large cerebral aneurysm with mass effect on the anterior visual pathway.
format	article
author	Casey Spinelli Aaron S. Dumont Arthur Wang
author_facet	Casey Spinelli Aaron S. Dumont Arthur Wang
author_sort	Casey Spinelli
title	Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature
title_short	Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature
title_full	Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature
title_fullStr	Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature
title_full_unstemmed	Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature
title_sort	delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/2fd6972dcc544c44801cfdd33f1b4754
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Delayed-onset homonymous hemianopia following stent assisted coil embolization of a large internal carotid artery bifurcation aneurysm; case report and review of the literature

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