Basilar artery aneurysm with autonomic features: an interesting pathophysiological problem
- Professor P J Goadsbypeterg{at}ion.ucl.ac.uk
- Received 14 November 2000
- Revised 18 June 2001
- Accepted 6 August 2001
Abstract
Unruptured cerebral aneurysms often present with neuro-ophthalmological symptoms but ocular autonomic involvement from an aneurysm of the posterior circulation has not previously been reported. A patient is described with a basilar artery aneurysm presenting with headache and unilateral autonomic symptoms. After angiographic coiling of the aneurysm there was a near complete resolution of these features. The relevant anatomy and proposed mechanism of autonomic involvement of what may be considered—from a pathophysiological perspective as a secondary trigeminal-autonomic cephalgia— is discussed
