{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T05:05:24Z","timestamp":1770354324296,"version":"3.49.0"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T00:00:00Z","timestamp":1656892800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Flow diverter stenting is an effective treatment for large proximal internal carotid artery (ICA) aneurysms. Cranial neuropathy caused by the mass effect of the aneurysm usually subsides over time. However, a new onset of compressive optic neuropathy after successful flow diverter stenting of a large proximal ICA aneurysm is seldom reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 57-year-old woman had a right supraclinoid ICA aneurysm (approximately 17 mm) on magnetic resonance angiography (MRA) in a health checkup. She received intervention with the Pipeline embolization device. Six months later, she started to experience progressive hemianopia in the left half of the visual field. Nine months after stenting, MRA showed that the aneurysm was growing and causing mass effect, but digital subtraction angiography confirmed that the aneurysm was completely excluded from the circulation. She received a craniotomy for microsurgical decompression of the optic nerve and coagulation shrinkage of the aneurysm. Clipping and thrombectomy were not attempted. Her visual fields recovered gradually. Follow-up MRA showed that the aneurysm also diminished in size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Whether the coagulation technique of the flow-diverter-occluded aneurysm alone is enough to cause satisfactory shrinkage and interaction between the flow diverter and the aneurysmal vasa vasorum\/neointima formation should be further examined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case22139","type":"journal-article","created":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T06:11:15Z","timestamp":1656915075000},"source":"Crossref","is-referenced-by-count":1,"title":["Compressive optic neuropathy caused by a flow-diverter-occluded-but-still-growing supraclinoid internal carotid aneurysm: illustrative case"],"prefix":"10.3171","volume":"4","author":[{"given":"Yuang-Seng","family":"Tsuei","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan"},{"name":"Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan"},{"name":"College of Medicine, National Chung Hsing University, Taichung, Taiwan"},{"name":"Department of Neurosurgery, Neurological Institute, Tri-Service General Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun-Yen","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Hsien","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan"},{"name":"Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan"},{"name":"Department of Medical Imaging and Radiological Science, Central Taiwan University of Science and Technology, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Yu","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan"},{"name":"College of Medicine, National Chung Hsing University, Taichung, Taiwan"},{"name":"Institute of Biomedical Sciences, National Chung Hsing University, Taichung, Taiwan"},{"name":"Department of Physical Therapy, Hung Kuang University, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih-Hsiang","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan"},{"name":"Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan"},{"name":"College of Medicine, National Chung Hsing University, Taichung, Taiwan"},{"name":"School of Medicine, Taipei Medical University, Taipei, Taiwan; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiung-Chyi","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan"},{"name":"Department of Neurosurgery, Neurological Institute, Tri-Service General Hospital, Taipei, Taiwan"},{"name":"Department of Physical Therapy, Hung Kuang University, Taichung, Taiwan"},{"name":"Basic Medical Education Center, Central Taiwan University of Science and Technology, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"26","key":"b1","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"2474","DOI":"10.1056\/NEJMoa1113260","article-title":"The natural course of unruptured cerebral aneurysms in a Japanese cohort","volume":"366","author":"Morita A","year":"2012","unstructured":"Morita A, Kirino T, Hashi K,  The natural course of unruptured cerebral aneurysms in a Japanese cohort. 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