scholarly journals Bilateral anomalous origin of ophthalmic artery from middle meningeal artery and coincidence of bilateral carotid artery aneurysm: Case report and literature review

2020 ◽  
Vol 26 (3) ◽  
pp. 354-357
Author(s):  
Ajit Mishra ◽  
Subhas K Konar ◽  
Dhananjaya I Bhat ◽  
S Nishant ◽  
B Indira Devi
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Middle Meningeal Artery ◽  
Anomalous Origin ◽  
Carotid Artery Aneurysm ◽  
Bilateral Carotid ◽  
Meningeal Artery

Ophthalmic artery (OA) is known for anomalous origin and aberrant course probably attributable to its complex embryology. Anomalous origin of OA can be associated with intracranial aneurysm. Anomalous origins have been reported from middle meningeal artery (MMA), cavernous carotid, posterior communicating, anterior cerebral and basilar artery. Even though bilateral anomalous origin of OA from MMA is a rare finding, to the author’s best knowledge, association of above condition with bilateral internal carotid artery aneurysms has not been described in the literature. We present a case of such anomalous bilateral OA originating from MMA and associated with bilateral internal carotid artery aneurysms. We have also reviewed the pertinent literature regarding anomalous OA origin.

scholarly journals Ocular Thrombosis after Stent-Assisted Coiling of a C7 (Paraclinoid) Internal Carotid Artery Aneurysm

2014 ◽  
Vol 20 (4) ◽  
pp. 455-460 ◽  
Author(s):  
Katsunari Namba ◽  
Ayuho Higaki ◽  
Shigeru Nemoto
Keyword(s):  
Adverse Event ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Common Adverse Event ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Paraclinoid Aneurysms

Stent-assisted coiling of paraclinoid aneurysms is widely performed in neurointerventional surgery. The most common adverse event related to this procedure is cerebral thromboembolism. However, reports on ocular thromboembolism are scarce. We report our experience with two patients who developed ocular thromboembolism following Enterprise stent-assisted coiling of paraclinoid aneurysms. We then review the available literature for the possible pathomechanism of ocular thrombosis. Ocular thromboembolism may be a risk of stent-assisted coiling when the stent traverses the orifice of the ophthalmic artery or the stent is placed in the C3 internal carotid artery. Further study is needed to clarify how to avoid this disabling complication.

scholarly journals Anomalous origin of the middle meningeal artery from the inferolateral trunk with an arterial circle around a hypoplastic internal carotid artery in an infant with a dural arteriovenous fistula

2019 ◽  
Vol 26 (1) ◽  
pp. 111-117
Author(s):  
M AlMatter ◽  
M Aguilar Pérez ◽  
V Hellstern ◽  
U Quäschling ◽  
O Ganslandt ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Arteriovenous Fistula ◽  
Ophthalmic Artery ◽  
Dural Arteriovenous Fistula ◽  
Internal Carotid ◽  
Middle Meningeal Artery ◽  
Embryologic Development ◽  
Meningeal Artery ◽  
Inferolateral Trunk

Deviations from normal embryologic development can manifest in different anatomical variants of the ophthalmic artery. We present a case of an infant treated for a high-flow dural arteriovenous fistula of the superior sagittal sinus, in whom an arterial circle involving the ophthalmic artery, the middle meningeal artery, the inferolateral trunk and a hypoplastic segment of the internal carotid artery was found. The embryologic development is briefly reviewed with emphasis on the possible genesis of this interesting constellation.

scholarly journals An interdisciplinary approach to the treatment of a complex infraclinoidal internal carotid artery aneurysm

2019 ◽  
Vol 32 (5) ◽  
pp. 376-381
Author(s):  
Jan Ole Nöldeke ◽  
Johannes Lemcke ◽  
Alexander Gräwe ◽  
Leonie Gölz ◽  
Pawel Gutowski
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Interdisciplinary Approach ◽  
Sudden Onset ◽  
Rare Congenital Anomaly ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

We present the case of a 49-year-old woman with sudden onset of severe headaches and a ruptured aneurysm located inside the fenestration of the infraclinoid part of the internal carotid artery in the segments C4 and C5 distal to the origin of the ophthalmic artery. An interdisciplinary approach enabled the successful treatment of the aneurysm by wrapping and stent-assisted coiling. We discuss this rare congenital anomaly of a fenestrated internal carotid artery together with the 12 other cases published worldwide.

Contralateral Pterional Approach to a Giant Internal Carotid-Ophthalmic Artery Aneurysm: Technical Case Report

Neurosurgery ◽  
2001 ◽  
Vol 48 (4) ◽  
pp. 955-959 ◽  
Author(s):  
Kazuhiro Hongo ◽  
Nobuaki Watanabe ◽  
Naoko Matsushima ◽  
Shigeaki Kobayashi
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Pterional Approach ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Contralateral Pterional Approach

Abstract OBJECTIVE AND IMPORTANCE The contralateral approach to internal carotid-ophthalmic artery aneurysms has been used in selected cases but has rarely been described for a giant internal carotid artery aneurysm. We report a case of giant aneurysm that was successfully clipped via the contralateral pterional approach. CLINICAL PRESENTATION A 69-year-old woman was found to have two aneurysms: a small aneurysm at the left internal carotid-posterior communicating artery and a giant aneurysm at the right internal carotid-ophthalmic artery. INTERVENTION A direct clipping operation was performed via the left pterional approach. After the small left internal carotid artery aneurysm was clipped, the contralateral giant aneurysm was further exposed and successfully clipped by use of the same approach via the prechiasmatic space. CONCLUSION The contralateral pterional approach can be applied even for a giant aneurysm of the carotid-ophthalmic artery aneurysm when the neck of the aneurysm is small and when there is a space between the anterior wall of the aneurysm and the tuberculum sellae. Furthermore, such a giant aneurysm can be clipped more easily and safely via the contralateral approach without compromising visual functions. To our knowledge, this is the first reported case of a giant internal carotid-ophthalmic artery aneurysm approached contralaterally. The feasibility of this approach can be assessed preoperatively by three-dimensional computed tomographic angiography as well as by conventional cerebral angiography.

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