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      [Aneurysm of the anterior cerebral artery disclosed by unique hemianopic scotoma].

      1 , , ,
      Revue neurologique

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          Abstract

          We report the case of a 47-year-old man with an aneurysm of the anterior cerebral artery revealed by lateral homonymous hemianopic non congruent scotoma. The aneurysm was successfully treated with interventional radiology procedures. In 10p. cent of cases, intracranial aneurysms present prior to their rupture with headache or neuro-ophthalmological symptoms and signs. Isolated visual field defects are rare, and isolated compression of the optic tract is extremely unusual. Although rare, the development of a non-congruent controlateral homonymous hemianopic scotoma is highly suggestive of optic tract compression, and can be explained by the somatotopy of the fibers within the optic tract.

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          Author and article information

          Journal
          Rev. Neurol. (Paris)
          Revue neurologique
          0035-3787
          0035-3787
          Mar 2002
          : 158
          : 3
          Affiliations
          [1 ] Service de Neuroradiologie, Hôpital Lariboisière, Paris, France.
          Article
          MDOI-RN-03-2002-158-3-0035-3787-101019-ART9
          11976595
          2e26a91d-83dd-4c00-a134-babd9cbb1547
          History

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