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April 1964

Evaluation of Ocular Signs and Symptoms in Cerebral Aneurysms

Author Affiliations

Harrisburg, Pa; Spokane, Wash; Trenton, NJ.; Philadelphia
From the departments of neurology, Wills Eye Hospital and Jefferson Medical College.

Arch Ophthalmol. 1964;71(4):463-474. doi:10.1001/archopht.1964.00970010479005

In the recent medical literature there have been many reports on cerebral aneurysms reflecting the great interest in this subject. It has become evident that the clinical manifestations of cerebral aneurysms require an alertness and common interest on the part of the ophthalmologist, neurologist, and neurosurgeon. However, as yet no series of cerebral aneurysms in which the patients presented themselves initially to the ophthalmologist has been reported. This paper is designed to review the clinical manifestations in such a selective series of 65 patients with verified cerebral aneurysms who were examined at the Wills Eye Hospital. In this respect these patients are comparable to patients who might present themselves initially to an ophthalmologist.

Aneurysms occur intracranially more frequently than elsewhere in the body. It has not been adequately explained why cerebral arteries which anatomically resemble those elsewhere in the body are prone to develop such defects. In most cases the