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Progressive Enlargement of a Large Suprasellar Internal Carotid AneurysmRapid Visual Improvement With Therapy
C. NORMAN SHEALY, MD;
BENJAMIN KAUFMAN, MD
Arch Neurol. 1965;13(6):659-661.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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LARGE aneurysms compressing the optic chiasm without subarachnoid hemorrhage are well known, and progressive enlargement of an aneurysm has been occasionally demonstrated. Both these aspects presenting in the same patient, as well as progressive suprasellar bony erosion by the lesion, prompted this report.
Report of a Case
A 53-year-old woman (UH 804-102) developed total blindness of the left eye within a two-week period in 1962. She was evaluated at another hospital initially by a pneumoencephalogram which demonstrated a large suprasellar mass. Fortunately, carotid arteriography was also performed and this demonstrated a large internal carotid aneurysm. No therapy was advised, and she remained stable until March 1964, when she tripped and fell without striking her head. She noted shortly there-after inability to see toward her right. She was seen and admitted to University Hospitals on April 1, 1964.
Physical Examination.—General examination was not remarkable. Neurological examination was abnormal only
. . . [Full Text PDF of this Article]
Author Affiliations
CLEVELAND
From the Division of Neurosurgery and Department of Radiology, University Hospitals (Western Reserve University).
Footnotes
Submitted for publication July 23, 1965; accepted Sept 16.
Reprint requests to 2065 Adelbert Road, Cleveland, Ohio 44106 (Dr. Shealy).
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