Publication

Endovascular treatment of a giant aneurysm of the internal carotid artery in a child with visual loss: case report

Journal Paper/Review - Jun 1, 2000

Units
PubMed
Doi

Citation
Dörfler A, Wanke I, Wiedemayer H, Weber J, Forsting M. Endovascular treatment of a giant aneurysm of the internal carotid artery in a child with visual loss: case report. Neuropediatrics 2000; 31:151-4.
Type
Journal Paper/Review (English)
Journal
Neuropediatrics 2000; 31
Publication Date
Jun 1, 2000
Issn Print
0174-304X
Pages
151-4
Brief description/objective

We report on a case of a giant aneurysm of the internal carotid artery in a 11-year old boy presenting with gradual unilateral visual loss, combined with slight headache and retro-orbital pain. Endovascular balloon occlusion of the internal carotid artery combined with monitoring of somatosensory evoked potentials was performed. Follow-up MR imaging six months after balloon occlusion revealed complete thrombosis and considerable retraction of the aneurysm. However, visual loss persisted, since therapy was initiated too late and optic nerve atrophy had already occurred. It is important to emphasize that visual disturbance should be considered as an emergency, and, although rare, aneurysms do occur in the pediatric population.