文章基本信息
- 标题：Internal Carotid Artery Aneurysm Presenting with Unilateral Nasal Hemianopsia
- 本地全文：下载
- 作者：Kim, Kyoung Nam ; Kim, Chang Sik ; Lee, Yeon Hee 等
- 期刊名称：Journal of the Korean Ophthalmological Society
- 印刷版ISSN：0378-6471
- 出版年度：2014
- 卷号：55
- 期号：9
- 页码：1406-1411
- DOI：10.3341/jkos.2014.55.9.1406
- 语种：Korean
- 出版社：The Korean Ophthalmological Society
- 摘要：Purpose
To report a case of unilateral nasal hemianopsia caused by a large internal carotid artery aneurysm.
Case summaryA 56-year-old female presented with large cupping in the left optic nerve head detected incidentally during a routine check-up. She had no underlying systemic disease except hypertension. The best corrected visual acuity was 20/20 in both eyes and a slit-lamp examination showed no abnormal findings. Ophthalmoscopy showed cup/disc ratios of 0.6 in the right eye and 0.75 in the left eye. Relative afferent papillary defect or color vision defect was not observed. A Humphrey visual-field test indicated unilateral nasal hemianopsia in the left eye. Brain CT and angiography revealed a large 2.2-cm aneurysm on the left internal carotid artery.
ConclusionsInternal carotid artery aneurysm should be considered as a possible cause of unilateral nasal hemianopsia in patients without intraocular lesion.
- 关键词：Glaucoma suspect; Internal carotid artery aneurysm; Optic disc cupping; Relative Afferent Pupillary Defect; Unilateral nasal hemianopsia
