Photophobia as the visual manifestation of chiasmal compression by unruptured anterior communicating artery aneurysm. Case report

Neurol Med Chir (Tokyo). 2009 Apr;49(4):159-61. doi: 10.2176/nmc.49.159.

Abstract

A 37-year-old woman presented with photophobia without visual loss associated with chiasmal compression by an unruptured anterior communicating artery (AcomA) aneurysm. She had suffered progressive photophobia for one year. Neuroimaging indicated an AcomA aneurysm attached to the chiasm. Photophobia was resolved following clipping of the aneurysm. AcomA aneurysm should be considered in patients who experience photophobia without visual loss.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebral Angiography
  • Circle of Willis / diagnostic imaging
  • Circle of Willis / pathology*
  • Decompression, Surgical
  • Disease Progression
  • Female
  • Headache / etiology
  • Humans
  • Intracranial Aneurysm / complications*
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / pathology*
  • Magnetic Resonance Imaging
  • Neurosurgical Procedures
  • Optic Chiasm / pathology*
  • Optic Chiasm / physiopathology
  • Photophobia / diagnostic imaging
  • Photophobia / etiology*
  • Photophobia / pathology*
  • Surgical Instruments
  • Treatment Outcome
  • Vision, Low
  • Visual Pathways / pathology
  • Visual Pathways / physiopathology