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AJNR - American Journal of Neuroradiology

Published ahead of print on December 7, 2007
doi: 10.3174/ajnr.A0858

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Cortical Blindness, Transient and Otherwise, Associated with Detachable Coil Embolization of Intracranial Aneurysms

Y. Niimi^a, M.J. Kupersmith^a, S. Ahmad^a, J. Song^a and A. Berenstein^a

^a From the Departments of Neuro-Ophthalmology and Endovascular Surgery, Hyman Newman Institute of Neurology and Neurosurgery, Roosevelt Hospital Center, New York; and Albert Einstein School of Medicine, New York

View larger version (70K): [in this window] [in a new window]   Fig 1. A, One week after cortical blindness, partial left homonymous visual field defect is seen. B, Minimal left homonymous visual field depression 4 years later.

View larger version (132K): [in this window] [in a new window]   Fig 2. Anteroposterior vertebral artery injection showing a basilar aneurysm with coils and no posterior cerebral artery spasm or occlusion.

View larger version (87K): [in this window] [in a new window]   Fig 3. Transaxial MR imaging fluid-attenuation recovery sequences show bilateral medial occipital cortical abnormal bright signal intensity (arrows).

View larger version (60K): [in this window] [in a new window]   Fig 4. A, Five days after cortical blindness, visual field loss in the left more than right in eye in a nonspecific pattern is seen. B. One month later, the visual fields are normal.