Case Report of Debilitating Headaches and a Coexisting Ophthalmic Artery Aneurysm: An Indication for Treatment?

2015 ◽  
Vol 56 (3) ◽  
pp. 567-572
Author(s):  
Eric P. Baron ◽  
Ferdinand K. Hui ◽  
Jennifer S. Kriegler
Keyword(s):  
Case Report ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Indication For Treatment

scholarly journals Acute retinal hemorrhage after Pipeline embolization device placement for treatment of ophthalmic segment aneurysm: A case report

2018 ◽  
Vol 24 (4) ◽  
pp. 383-386
Author(s):  
Nimer Adeeb ◽  
Justin Moore ◽  
Christoph J Griessenauer ◽  
Raghav Gupta ◽  
Ahad A Fazelat ◽  
...  
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Retinal Hemorrhage ◽  
External Carotid ◽  
Anterior Communicating Artery ◽  
Small Subset ◽  
Pipeline Embolization Device ◽  
Ophthalmic Segment Aneurysms

Introduction Ophthalmic segment aneurysms may present with visual symptoms due to direct compression of the optic nerve. Treatment of these aneurysms with the Pipeline embolization device (PED) often results in visual improvement. Flow diversion, however, has also been associated with occlusion of the ophthalmic artery and visual deficits in a small subset of cases. Case report A 49-year-old Caucasian female presented with subarachnoid hemorrhage due to a ruptured anterior communicating artery aneurysm. On follow-up imaging, the patient was found to have a right asymptomatic ophthalmic segment aneurysm. Due to the irregular shape of the aneurysm and history of aneurysmal subarachnoid hemorrhage, the decision was made to treat the aneurysm with a PED. Postoperatively, the patient complained of floaters in the right eye. Detailed ophthalmologic examination showed retinal hemorrhage and cotton-wool spots on the macula. Such complication after PED placement has never been reported in the literature. Conclusion Visual complications after PED placement for treatment of ophthalmic segment aneurysms are rare. It is thought that even in cases where the ophthalmic artery occludes, patients remain asymptomatic due to the rich collateral supply from the external carotid artery branches. Here we report a patient who developed an acute retinal hemorrhage after PED placement.

Meningioma Associated with Aneurysm and Subarachnoid Hemorrhage: Case Report and Review of the Literature

Neurosurgery ◽  
1987 ◽  
Vol 20 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Gary M. Bloomgarden ◽  
Thomas N. Byrne ◽  
Dennis D. Spencer ◽  
Michael D. Heafner
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Ct Scans ◽  
Review Of The Literature ◽  
Anterior Clinoid Process ◽  
Computed Tomographic ◽  
Spontaneous Subarachnoid Hemorrhage

Abstract A patient presented with spontaneous subarachnoid hemorrhage after a prolonged episode of coughing. A preoperative computed tomographic (CT) scan confirmed subarachnoid hemorrhage, but demonstrated no other lesion. Arteriography revealed an ophthalmic artery aneurysm. Operation revealed the aneurysm to be intracavernous without sign of prior rupture; however, a small hemorrhagic meningioma was removed from the ipsilateral anterior clinoid process. In this case, coincidental meningioma and aneurysm presented as a subarachnoid hemorrhage secondary to tumor hemorrhage. The follow-up of cases of subarachnoid hemorrhage with negative arteriography with sequential CT scans is discussed.

scholarly journals Fusiform Intracanalicular Ophthalmic Artery Aneurysm; Case Report and Review of Literature

2008 ◽  
Vol 44 (1) ◽  
pp. 43 ◽  
Author(s):  
Byung Kwan Choi ◽  
Tae Hong Lee ◽  
Chang Hwa Choi ◽  
Sang Weon Lee
Keyword(s):  
Case Report ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Review Of Literature

Intraorbital traumatic ophthalmic artery aneurysm: Case report

2012 ◽  
Vol 60 (6) ◽  
pp. 657 ◽  
Author(s):  
Ji-zong Zhao ◽  
Yong Li ◽  
Wei-xian Song ◽  
Tian-ming Zhang ◽  
Ji-di Fu ◽  
...  
Keyword(s):  
Case Report ◽  
Ophthalmic Artery ◽  
Artery Aneurysm

Traumatic Bilateral Ophthalmic Artery Aneurysms: A Case Report

Neurosurgery ◽  
1987 ◽  
Vol 21 (1) ◽  
pp. 86-89 ◽  
Author(s):  
Yoon S. Hahn ◽  
David G. McLone
Keyword(s):  
Case Report ◽  
Cerebral Angiography ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Optic Chiasm ◽  
Memory Deficit ◽  
Computed Tomographic ◽  
Progressive Loss ◽  
Computed Tomographic Scan ◽  
Traumatic Origin

Abstract A case of bilateral ophthalmic artery aneurysm of traumatic origin is discussed. The patient presented with progressive loss of vision, memory deficit, and expressive aphasia. A computed tomographic scan revealed enhancing lesions near the region of the optic chiasm. The diagnosis of cerebral aneurysm was confirmed by cerebral angiography. At operation, bilateral ophthalmic artery aneurysms were successfully clipped. (Neurosurgery 21: 86-89, 1987)

Tension Pneumocephalus after Clipping of a Carotid-Ophthalmic Artery Aneurysm via an Interhemispheric Approach: Case Report

Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 650-654 ◽  
Author(s):  
Akio Asai ◽  
Hisashi Yamada ◽  
Kazuo Tsutsumi ◽  
Kintomo Takakura
Keyword(s):  
Case Report ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Optic Canal ◽  
Tension Pneumocephalus ◽  
Aneurysm Clipping ◽  
Interhemispheric Approach ◽  
The Right ◽  
Planum Sphenoidale

Abstract A case of postoperative tension pneumocephalus of unusual cause after carotid-ophthalmic artery aneurysm clipping is presented. A second craniotomy for decompression and exploration demonstrated a small fistula in the planum sphenoidale, which presumably had been made when the right optic canal was unroofed during the first operation.

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