Progressive visual loss due to a muslinoma – report of a case and review of the literature

@article{Berger2003ProgressiveVL,
  title={Progressive visual loss due to a muslinoma – report of a case and review of the literature},
  author={Christian Berger and Martin Hartmann and Brigitte Wildemann},
  journal={European Journal of Neurology},
  year={2003},
  volume={10}
}
Intracranial internal carotid artery (ICA) aneurysms are frequently treated either by microsurgical clipping of the aneurysm neck, by endovascular coiling of the aneurysm sac or by balloon occlusion of the parent vessel. For some broad‐based aneurysms that may not be suitable for any of these options, microsurgical wrapping of the aneurysm wall with muslin or gauze rarely is applied. We report the case of a patient who suffered from a minor stroke because of arterio‐arterial embolism from an… 
Delayed progressive visual loss following wrapping of bilateral clinoidal aneurysms: recovery of vision and improvement in neuroimaging during corticosteroid treatment
TLDR
The case of a patient who developed severe bilateral visual loss and neuroimaging evidence of inflammation in the paraclinoid and suprasellar regions 2 months after wrapping of bilateral clinoidal aneurysms with cotton and fibrin glue is presented, but who recovered visual function and whose neuroim imaging appearance improved after treatment with systemic corticosteroids.
Case Report: Late Sequela of a Muslinoma Involving the Optic Chiasm
TLDR
This case represents the longest duration of recurrent symptoms from muslin-related optochiasmatic arachnoiditis in the English language ophthalmic literature and Clinicians should be aware of the potential of delayed and recurrent symptoms or signs years or even decades after muslin wrapping of aneurysms.
Muslinoma and muslin-induced foreign body inflammatory reactions after surgical clipping and wrapping for intracranial aneurysms: imaging findings and clinical features.
TLDR
When a patient with a history of wrapping of an aneurysm presents with acute neurological symptoms and an enhancing intracranial mass in the region of the surgical site on MR imaging, a muslin-induced foreign body inflammatory reaction should be considered in the differential diagnosis, and careful clinical and radiological follow-up is advised.
DELAYED VISUAL DEFICITS AND MONOCULAR BLINDNESS AFTER ENDOVASCULAR TREATMENT OF LARGE AND GIANT PARAOPHTHALMIC ANEURYSMS
TLDR
The case series raises the possibility that this phenomenon may be more likely with HydroCoil (HydroCoil Embolic System; MicroVention, Aliso Viejo, CA), and should be taken into account by neurointerventionists when selecting a coil type to treat large paraophthalmic aneurysms.
VISUAL PATHWAY COMPROMISE AFTER HYDROCOIL TREATMENT OF LARGE OPHTHALMIC ANEURYSMS
TLDR
Hydrogel-coated coils for endovascular aneurysm treatment offer the theoretical advantages of increased volumetric occlusion, thrombus stabilization, and improved neointimal healing, but are cautioned against using in situations in which worsened mass effect or local inflammation would have highly deleterious consequences, such as in largeAneurysms adjacent to the visual pathways or the brainstem.
That's a wrap.
Surgical treatment of a gauzoma with associated obliterative arteriopathy and review of the literature
TLDR
A case of a 50-year-old woman whose 0.5 mm middle cerebral artery (MCA) aneurysm was treated with gauze wrapping at an outside facility and presented with a gauzoma associated with local inflammatory response and severe narrowing of the MCA.
Cerebrovascular complications and granuloma formation after wrapping or coating of intracranial aneurysms with cotton gauze and human fibrin adhesives: results from a single-center patient series over a 5-year period.
TLDR
These data should add to the awareness of significant cerebrovascular complications following wrapping or coating of IAs with cotton gauze and human fibrin adhesives and indicate that major ischemic strokes need to be included in the risk/benefit considerations during decision making for such treatment strategies.
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References

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TLDR
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This article reports three cases of visual failure of presumably ischemic etiology, after aneurysm surgery; the first case occurring 7 months after clipping and gauze wrapping of a 4-mm anterior
Muslin wrapping of aneurysms and delayed visual failure. A report of three cases.
This article reports three cases of visual failure of presumably ischemic etiology, after aneurysm surgery; the first case occurring 7 months after clipping and gauze wrapping of a 4-mm anterior
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TLDR
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TLDR
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TLDR
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