Mustafa ILİK, Turker ACAR, Duran EFE, Zeynep DADACI, Serkan GUNEYLİ

ANEVRİZMAYA BAĞLI OLMAYAN ARTERİAL TEMASTAN DOLAYI GERÇEKLEŞEN GÖRME ALANI DEFEKTİ: BİR OLGU SUNUMU

Olgumuzda, ektazik ve anevrizmatik olmayan arteriyal temasın neden olduğu görme alanı defekti olan bir hasta sunulmuştur. Hikayesinde özellik olmayan 29 yaşında bayan hastanın 2 yıl önce başlayan görme alanı defekti mevcuttu. Görme alanı muayenesinde sağ gözde kısmi görme alanı defekti tespit edildi. Yapılan radyolojik değerlendirmelerde anterior serebral arterin ilk segmenti ile sağ optik sinir arasında yakın temas tespit edildi. Ancak manyetik rezonans görüntülemesinde yer kaplayan bir kitle yada bilgisayarlı tomografi anjiografisinde anevrizmal yada ektazik bir arteriyal lezyon görülmedi.

Anahtar Kelimeler:

Arteriyal Temas, Görme Alanı Defekti, Optik Nöropati

Visual Field Defect Due to Non-aneurysmal Arterial Contact: A Case Report

In this case, we describe a patient with visual field defect caused by non-ectatic/non- aneurysmatic arterial contact. A 29-year-old woman withno significant past medical history had noticed with the complaint of visual field loss in her right eye that started 2 years ago. Visual fieldexamination showed partial visual field defects in the right eye. Radiologic examination has revealed a close relationship of right optic nervewith the first segment of anterior cerebral artery. However no typical space-occupying mass was revealed in the magnetic resonance imagingand no aneurysmal or ectatic arterial lesion was seen in the computed tomography angiography.

Keywords:

Arterial Contact, Visual Defect, Optic Neuropathy,

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Fargen KM, Blackburn S. Surgical Decompression for Optic Neuropathy From Carotid Artery Ectasia: Case Report with Technical Considerations. World Neurosurg. 2013; 13:770-75.
Caramazza F. Sindrome chiasmatica da ateromasia della carotide interna. Riv Oto-neuro-oftalm. 1932; 9: 486-515.
Jacobson DM, Warner JJ, Broste SK. Optic nevre contact and compression by the carotid artery in asymptomatic patients. Am J Ophthalmol. 1997; 123: 677-83.
Colapinto EV, CabeenMA, Johnson LN. Optic nevre compression by a dolichoectatic internal carotid artery: case report. Neurosurgery. 1996; 39: 604-06.
Strom RG, FouladvandM, Pramanik BK, Doyle WK, Huang PP. Progressive optic neuropathy caused by contact with the carotid artery: decompression. Clin Neurol Neurosurg. 2012; 114:812-15.
Uchino M, Nemoto M, Ohtsuka T, Kuramitsu T, Isobe Y. Unilateral visual field defect due to optic nerve compression by sclerotic internal carotid artery: a case report . No Shinkei Geka. 1999; 27:189-94.
Chang JH, Lee DK, Kim BT, Ohn YH. Computed tomographic angiogram of an anterior communicating artery aneurysm causing acute retrobulbar optic neuropathy: a case report. Korean J Ophthalmol. 2011;25 :366-68.
Bakker SL, Hasan D, Bijvoet HW. Compression of the visual pathway by anterior cerebral artery aneurysm. Acta Neurol Scand. 1999; 99:204-07.
S.S. Hayreh. Ischemic Optic Neuropathies, Springer-Verlag Berlin Heidelberg. 2011; 2: 7-33.
Alberico RA, Patel M, Casey S, Jacobs B, Maguire W, Decker R. Evaluation of the circle of Willis with three- dimensional CT angiography in patients with suspected intracranial 1995;16:1571-78. after microvascular aneurysms. Am J Neuroradiol. Corresponding Dr. Kemal İlik
Department of Neurosurgery, Mevlana University, Konya, Turkey email: mkilik@gmail.com