ABSTRACT The aim of this case report was to demonstrate the importance of the neuro-ophthalmological examination, particularly the assessment of the pupillary reflex, in identifying neurological abnormalities in asymptomatic patients, highlighting its crucial role in the early detection of intracranial aneurysms, even in the absence of evident clinical signs. This is an observational, retrospective, and descriptive case report of a 70-year-old male patient with chronic glaucoma. During a routine ophthalmological evaluation, a relative afferent pupillary defect was identified in the […]

ABSTRACT Intracranial aneurysms are dilations in segments of the arteries that irrigate the central nervous system. They affect 2% of the population and the ophthalmologic disorders may be the first evidence in the clinical examination. The aim of the report is to describe a case of an internal carotid artery aneurysm that showed restrictions of ocular movements, change of pupillary light reflex, palpebral ptosis, facial, and cervical pain. This diagnosis was confirmed by the identification of the aneurysm through angiography. […]