Response to “Some observations over the article “Evaluation of the anastomoses between the ophthalmic artery and the middle meningeal artery by superselective angiography””

Author(s):  
Hilal Akdemir Aktaş ◽  
Kadriye Mine Ergun ◽  
İlkan Tatar ◽  
Anıl Arat ◽  
Kadir Mutlu Hayran
2020 ◽  
Vol 42 (11) ◽  
pp. 1355-1361 ◽  
Author(s):  
Hilal Akdemir Aktaş ◽  
Kadriye Mine Ergun ◽  
İlkan Tatar ◽  
Anıl Arat ◽  
Kadir Mutlu Hayran

2016 ◽  
Vol 9 (3) ◽  
pp. e10-e10 ◽  
Author(s):  
Takamitsu Tamura ◽  
David E Rex ◽  
Miklos G Marosfoi ◽  
Ajit S Puri ◽  
Matthew J Gounis ◽  
...  

We describe an interesting case of trigeminocardiac reflex (TCR) caused by selective angiography of the middle meningeal artery (MMA). A 28-year-old woman presented with a symptomatic meningioma. Preoperative tumour embolisation was performed. In the procedure, when selective MMA angiography was done with Omnipaque 300 mg I/mL for 3 mL by manual injection, the patient complained of flashing lights in her eye followed by vomiting and bradycardia down to 40 bpm without increased intracranial pressure signs. On selective MMA angiography, the choroidal crescent and arteries of the periorbital region were opacified by anastomosis from the MMA via the meningo-ophthalmic artery. We diagnosed that her symptoms were caused by selective MMA angiography leading to high pressure stimulation towards the ophthalmic nerve innervation around the orbit as a TCR. We suggest that the operator should be prepared to manage TCR during treatment with expected selective MMA angiography, and gentle low pressure contrast injection should be attempted.


2014 ◽  
Vol 37 (1) ◽  
pp. 105-108 ◽  
Author(s):  
David Kimball ◽  
Heather Kimball ◽  
R. Shane Tubbs ◽  
Marios Loukas

2013 ◽  
Vol 35 (9) ◽  
pp. 775-782 ◽  
Author(s):  
Akira Uchino ◽  
Naoko Saito ◽  
Masahiro Takahashi ◽  
Eito Kozawa ◽  
Waka Mizukoshi ◽  
...  

Neurosurgery ◽  
2001 ◽  
Vol 49 (2) ◽  
pp. 401-407 ◽  
Author(s):  
Qingliang Liu ◽  
Albert L. Rhoton

Abstract OBJECTIVE To examine the microsurgical anatomy and clinical significance of an anomalous origin of the ophthalmic artery from the middle meningeal artery. METHODS In the course of an anatomic study of the cavernous sinus, an anomalous ophthalmic artery arising from the middle meningeal artery was found. To further define the anatomy of the region, five additional skulls, in which the arteries and veins were injected with colored latex, were dissected using 3× to 40× magnification. RESULTS The anomalous ophthalmic artery arose from the frontal branch of the middle meningeal artery, passed through the superior orbital fissure, and supplied the entire contents of the orbit, as well as giving rise to the central retinal artery. This study provides the first display of this anomaly in an anatomic dissection. CONCLUSION The ophthalmic artery may infrequently arise from the middle meningeal artery. This anomaly places the ophthalmic artery at risk during procedures in which the dura is elevated from the greater and lesser wings of the sphenoid or when the sphenoid ridge is removed and during embolization procedures involving the branches of the external carotid artery.


1995 ◽  
Vol 72 (2-3) ◽  
pp. 163-176 ◽  
Author(s):  
Kazuyuki SHIMADA ◽  
Yasumi KANEKO ◽  
Iwao SATO ◽  
Hiromitsu EZURE ◽  
Gen MURAKAMI

2007 ◽  
Vol 106 (1) ◽  
pp. 142-150 ◽  
Author(s):  
Paolo Perrini ◽  
Andrea Cardia ◽  
Kenneth Fraser ◽  
Giuseppe Lanzino

Object The authors studied the microsurgical anatomy of the ophthalmic artery (OphA), paying particular attention to its possibly dangerous anastomoses with the middle meningeal artery (MMA). Methods The microsurgical anatomy of the OphA and its anastomoses with the MMA were studied in 14 vessels from seven adult cadaveric heads. The origination order of the OphA branches varies in relation to whether the artery, along its intraorbital course, crosses above or below the optic nerve (ON). The central retinal artery is the first branch to course from the OphA when it crosses over the ON, and it is the second branch to course from the OphA when the artery crosses under the ON. Anastomoses between branches of the MMA and the OphA were present in the majority of the specimens examined. Conclusions Detailed knowledge of the microanatomy of the OphA and recognition of anastomoses between the external carotid artery and the OphA are critically important in avoiding disastrous complications during endovascular procedures.


2018 ◽  
Vol 07 (01) ◽  
pp. 012-016 ◽  
Author(s):  
Umesh P Modasiya ◽  
Sanjaykumar Kanani

Abstract Background & Aims: Meningo-orbital foramen is provides a route for an anastomosis between the meningo-orbital branch of the middle meningeal artery and recurrent meningeal branch of ophthalmic artery. Practical importance is emphasized when the middle meningeal artery has abnormal origin, in the cases of subtemporal epidural hematoma, tumors, vascular malformations and in the cases when the foramen spinosum is absent. Present study was undertaken in order to explore the frequency and positional anatomy of this foramen in ninety dry adult human skulls of south Gujarat population. Material & Method: This study was conducted on 90 dry skulls of human origin. Different parameters were noted. Result: Meningo-orbital foramen was absent bilaterally in 35[38.88%] of the skulls studied .The presence of the Meningo-orbital foramen was detected in the 55[61.11%] cases. It was present unilaterally in 30[33.33%] cases [10 on the right and 20 on the left side], and bilaterally in 25[27.77%] cases. Triple MOF were in 2 skulls on right orbit only. Largest variability was noted for distance from the lateral end of the superior orbital fissure. Conclusion: Knowledge of presence and variation in meningo-orbital foramen's anatomical parameter can be crucial for ophthalmologists and neurosurgeons.


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