Large Paraclinoid aneurysms with Optic Pathway Compression |
Dong Yeon Sung , Yu Sam Won , Chun Sik Choi |
Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University
School of Medicine, Seoul, Korea |
시신경로 압박을 보인 상상돌기 주변 동맥류 |
성동연ㆍ원유삼ㆍ최천식 |
성균관대학교 의과대학 강북삼성병원 신경외과학교실 |
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Abstract |
Recently, favorable outcomes have been reported after the endovascular treatment of either ruptured or unruptured
paraclinoid aneurysms. The complications specifically related to the endovascular treatment of paraclinoid aneurysms
have also been reported. Visual symptoms related to the mass effect associated with giant paraclinoid aneurysms
normally improved after surgical clip with decompression or coil embolization. But, these symptoms have also been
reported to be exacerbated in either treatment modalities. The authors here report two case of large unruptured
paraclinoid aneurysms, one who exhibited progressive visual loss occuring after endovascular coiling treatment and
the other one with progressive visual improvement after clip and decompression. |
Key Words:
Paraclinoid aneurysmㆍVisionㆍEndovascular treatmentㆍClip |
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