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Skull Base 2004; 14(3): 169-173
DOI: 10.1055/s-2004-832263
CASE REPORT

Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Anterior Communicating Artery Aneurysm Following Radiation Therapy for Optic Glioma: Report of a Case and Review of the Literature

Kemal Yucesoy1 , Iman Feiz-Erfan2 , Robert F. Spetzler2 , Patrick P. Han2 , Stephen Coons3
  • 1Department of Neurosurgery, Dokuz Eylül University, Izmir, Turkey
  • 2Divisions of Neurological Surgery and Neuropathology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona
  • 3Division Neuropathology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona
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Publication History

Publication Date:
24 August 2004 (online)

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A 42-year-old female presented with subarachnoid hemorrhage (SAH), presumably from a radiation-induced anterior communicating artery aneurysm. Six years earlier, she had undergone radiation treatment for an optic glioma that was diagnosed based on imaging criteria. The aneurysm was successfully clipped, and the optic glioma was biopsied to verify the diagnosis histologically. Radiation-induced cerebral aneurysms often manifest with a fatal SAH. These aneurysms typically develop in the field of radiation and are diagnosed a mean of 8.52 years after radiation. Rarely, the aneurysm sac thromboses spontaneously. Clipping or coiling of the aneurysm can be an effective treatment.

KEYWORDS

Intracranial aneurysm - subarachnoid hemorrhage - optic glioma - radiation therapy

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Robert F SpetzlerM.D. 

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