Abstracts
The case of a 24-year-old man with progressive visual loss due to optochiasmatic arachnoiditis is presented. The cause of the arachnoiditis was subarachnoidal bleeding due to rupture of an internal carotid artery aneurysm. The aneurysm was clipped 5 years after the first episode of bleeding. The diagnosis of optochiasmatic arachnoiditis was confirmed during the operation. This case, is presented in order to discuss the causes, the symptoms and the therapeutical possibilities of this rare condition.
Relato do caso de paciente masculino com 24 anos de idade, com perda progressiva da visão devida a aracnoidite optoquiasmática. A causa da aracnoidite foi ruptura de aneurisma da parede dorsal da artéria carótida interna direita, com hemorragia subaracnóidea. O aneurisma foi clipado 5 anos após o primeiro episódio de sangramento. O diagnóstico de aracnoidite optoquiasmática foi confirmado durante cirurgia. A finalidade do relato é rever e discutir as causas, o quadro clínico o as possibilidades terapêuticas dessa condição rara.
Severe optochiasmatic arachnoiditis after rupture of an internal carotid artery aneurysm
Aracnoidite optoquiasmática grave após ruptura de aneurisma da artéria carótida interna
Ricardo RaminaI; Walter O. ArrudaII; Antônio C. F. PrestesI; Mônica K. F. ParolimIII
IUnidade de Ciências Neurológicas, Hospital São Vicente: Neurocirurgião
IIUnidade de Ciências Neurológicas, Hospital São Vicente: Neurologista, bolsista do CNPq
IIIUnidade de Ciências Neurológicas, Hospital São Vicente: Neurologista
SUMMARY
The case of a 24-year-old man with progressive visual loss due to optochiasmatic arachnoiditis is presented. The cause of the arachnoiditis was subarachnoidal bleeding due to rupture of an internal carotid artery aneurysm. The aneurysm was clipped 5 years after the first episode of bleeding. The diagnosis of optochiasmatic arachnoiditis was confirmed during the operation. This case, is presented in order to discuss the causes, the symptoms and the therapeutical possibilities of this rare condition.
RESUMO
Relato do caso de paciente masculino com 24 anos de idade, com perda progressiva da visão devida a aracnoidite optoquiasmática. A causa da aracnoidite foi ruptura de aneurisma da parede dorsal da artéria carótida interna direita, com hemorragia subaracnóidea. O aneurisma foi clipado 5 anos após o primeiro episódio de sangramento. O diagnóstico de aracnoidite optoquiasmática foi confirmado durante cirurgia. A finalidade do relato é rever e discutir as causas, o quadro clínico o as possibilidades terapêuticas dessa condição rara.
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Publication Dates
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Publication in this collection
06 June 2011 -
Date of issue
June 1989