Eye signs and symptoms of intracranial aneurysm

Abstract

Morgagni first described the formation of aneurysms on the posterior communicating arteries in 1761. Much later, Sir William Gull (Guy's Hospital, London), in 1859 recognized the clinical picture of subarachnoid hemorrhage as a consequence of rupturing intracranial aneurysm, saying: 'Whenever young persons die with symptoms of ingravescent apoplexy, and after death large effusion of blood is found, especially if the effusion be over the surface of the brain in the meshes of the pia mater, the presence of an aneurism is probable'. Although Symonds in 1923 demonstrated the possibility of a clinical diagnosis of cerebral aneurysm in several verified cases, exact diagnosis and above all localization became feasible only after the introduction of cerebral angiography by Moniz and Almeida Lima in 1927.