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Abstract #8101 Published in IGR 4-3
A case of cerebral aneurysm at the bifurcation of the internal carotid-ophthalmic artery associated with glaucomatous cupping
Takaesu S; Shiroma T; Hayakawa K; Sawaguchi SNeuro-Ophthalmology Japan 2002; 19: 63-70
A 61-year-old female came to the authors eye clinic for screening in connection with her diabetes mellitus. Ophthalmic examination showed glaucomatous cupping with normal intraocular pressure and a infero-nasal 1/4 visual field defect, as determined by static perimetry of her left eye. Discrepancy in the optic disc findings and the visual field defect led to further neurological examinations, which included magnetic resonance imaging (MRI). The MRI study demonstrated a cerebral aneurysm at the bifurcation of the internal carotid-ophthalmic artery measuring about 5 mm in diameter. The aneurysm appeared to compress the left optic nerve supero-temporally. Neurological examinations should be considered in patients with normal tension glaucoma whenever any discrepancies in clinical findings exist. LA: Japanese
S. Takaesu, ,D.Department of Ophthalmology, Ryukyu University School of Medicine, 207 Uehara, Nishihara-cho, Okinawa 903-0215, Japan
Classification:
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy