Endovascular Treatment of Ruptured Intradural Ophthalmic Artery Aneurysm

2011 ◽  
Vol 24 (6) ◽  
pp. 895-898
Author(s):  
L.S.P. Karanam ◽  
R. Saraf ◽  
U.S. Limaye
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Endovascular Treatment ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Review Of The Literature ◽  
Endovascular Technique ◽  
Unique Case ◽  
Antegrade Flow

We present a unique case of ruptured intradural ophthalmic artery aneurysm in a young man who presented with subarachnoid hemorrhage. By endovascular technique we successfully excluded the aneurysm from the circulation with preservation of antegrade flow in the ophthalmic artery. The presenting features and the technique of the treatment are described with a review of the literature.

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 A Patient with Eight Intracranial Aneurysms: Endovascular Treatment in Two Sessions

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Erol Akgul ◽  
Hasan Bilen Onan ◽  
Huseyin Tugsan Balli ◽  
Nuri Eralp Cetinalp
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Endovascular Treatment ◽  
Intracranial Aneurysms ◽  
Treatment Modalities ◽  
Review Of The Literature ◽  
Endovascular Techniques ◽  
Endovascular Technique ◽  
Anterior Circulation ◽  
First Choice ◽  
Flow Diverters

The frequency of multiple intracranial aneurysms seen in patients with or without subarachnoid hemorrhage is high. The advancement of the endovascular technique and devices has ensured that endovascular treatment of intracranial aneurysms is the first choice in most cases, especially in unruptured ones. Different combinations of treatment modalities and techniques can be used in the management of multiple aneurysms. But in selected patients without subarachnoid hemorrhage, treatment of all aneurysms in one or more sessions with endovascular techniques is less traumatic than that with surgery. In the literature, the maximum number of aneurysms in one patient treated endovascularly and/or surgically is seven. In this case report, we present, with a review of the literature, a patient with eight intracranial aneurysms, all of which were treated in two sessions with various endovascular techniques. A 40-year-old female patient was admitted due to headache. Angiography showed eight aneurysms in the posterior circulation and, bilaterally, in the anterior circulation. All aneurysms were treated endovascularly in two sessions. In the treatment of the aneurysms, different endovascular techniques were used including flow diverters stents, stent-assisted coiling, Y-stent-assisted coiling, and coiling alone.

Neonatal intracranial aneurysms: case report and review of the literature

2018 ◽  
Vol 21 (5) ◽  
pp. 471-477 ◽  
Author(s):  
Jeewaka E. Mohotti ◽  
Nicole S. Carter ◽  
Victor Jia Wei Zhang ◽  
Leon T. Lai ◽  
Christopher Xenos ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Endovascular Treatment ◽  
Intracranial Aneurysms ◽  
Time Of Flight ◽  
Review Of The Literature ◽  
Microsurgical Treatment ◽  
Enhanced Mri ◽  
Contrast Enhanced ◽  
Mca Aneurysm ◽  
Contrast Enhanced Mri

Intracranial aneurysms in the neonate, presenting in the first 4 weeks of life, are exceedingly rare. They appear to have characteristics, including presentation and location, that vary from those found in adults. The authors present a case of a 28-day-old neonate with a ruptured distal middle cerebral artery (MCA) aneurysm. Initial noninvasive imaging with transfontanelle ultrasound and CT confirmed intraparenchymal and subarachnoid hemorrhage. Contrast-enhanced MRI revealed a 14-mm ruptured fusiform MCA aneurysm that was not identified on time-of-flight magnetic resonance angiography (MRA). Microsurgical treatment was performed with partial neurological recovery. A comprehensive review of the literature from 1949 to 2017 revealed a total of 40 aneurysms in 37 neonates, including the present case. The most common presenting symptom was seizure. Although subarachnoid hemorrhage was the most common form of hemorrhage, 40% had intraparenchymal hemorrhage. The median aneurysm size was 10 mm (range 2–30 mm) and the most common location was the MCA, with two-thirds of cases involving the distal intracranial vasculature. Over the last 10 years, there has been a trend of increasing noninvasive diagnosis of ruptured cerebral aneurysms in neonates, with CT angiography and contrast-enhanced MRI being the most useful diagnostic modalities. The use of contrast-enhanced MRI may improve sensitivity over time-of-flight MRA. Microsurgical treatment was the most common treatment modality overall, with increased use of endovascular treatment in the last decade. Most patients underwent microsurgical vessel ligation or endovascular parent vessel occlusion. There were high rates of neurological recovery after microsurgical or endovascular treatment, particularly for patients with distal aneurysms.

Coil embolization of posttraumatic pseudoaneurysm of the ophthalmic artery causing subarachnoid hemorrhage

2007 ◽  
Vol 107 (5) ◽  
pp. 1043-1046 ◽  
Author(s):  
John K. Hopkins ◽  
Ali Shaibani ◽  
Saad Ali ◽  
Saquib Khawar ◽  
Richard Parkinson ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Coil Embolization ◽  
Ophthalmic Artery ◽  
Relevant Literature ◽  
Imaging Features ◽  
Unique Case ◽  
Traumatic Pseudoaneurysm

✓The authors report a unique case of subarachnoid hemorrhage caused by a traumatic pseudoaneurysm of the ophthalmic artery, which was successfully treated with coil embolization. Clinical and imaging features, as well as the relevant literature, are described.

Delayed Ischemic Deficit after Resection of a Large Intracranial Dermoid: Case Report and Review of the Literature

Neurosurgery ◽  
2003 ◽  
Vol 52 (3) ◽  
pp. 706-710 ◽  
Author(s):  
Robert D. Ecker ◽  
John L. Atkinson ◽  
Douglas A. Nichols
Keyword(s):  
Magnetic Resonance ◽  
Endovascular Treatment ◽  
Clinical Presentation ◽  
Delayed Cerebral Ischemia ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Initial Attempt ◽  
Unique Case ◽  
Total Resection ◽  
Vessel Rupture

Abstract OBJECTIVE AND IMPORTANCE A unique case of delayed ischemic deficit after resection of a large intracranial dermoid is presented. CLINICAL PRESENTATION A 23-year-old woman, 36 hours after the uneventful gross total resection of a large intracranial dermoid cyst, slowly developed a progressive mixed aphasia and right hemiparesis. Magnetic resonance imaging and magnetic resonance angiography revealed small infarcts of the left putamen and temporal-occipital junction and a vasospastic tapering of the left M1 segment. INTERVENTION Angiography confirmed severe vasospastic tapering of the left M1 and M2 segments. Endovascular treatment successfully restored flow in the left superior division. However, the initial attempt at low-pressure dilation of the inferior division led to vessel rupture. Seven months after reoperation for emergent trapping of the M1 segment, the patient made an excellent recovery, with only mild right-hand incoordination. CONCLUSION Ruptured dermoid cysts are a risk for early and delayed cerebral ischemia, and endovascular treatment of dermoid-encased vessels may carry a higher risk for rupture.

Evaluation of the immediate and long-term results of endovascular treatment of ruptured vertebrobasilar artery aneurysms in an acute period of hemorrhage

2019 ◽  
Vol 20 (4) ◽  
pp. 31-37
Author(s):  
E. O. Ivankova ◽  
V. V. Darvin ◽  
M. A. Bessmertnykh
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Endovascular Treatment ◽  
Vegetative State ◽  
Good Condition ◽  
Artery Aneurysm ◽  
Long Term Results ◽  
Study Objective ◽  
Acute Period ◽  
Endovascular Occlusion ◽  
Vertebrobasilar Artery

The study objective is to evaluate the results of endovascular treatment of patients with subarachnoid hemorrhage due to rupture of the vertebrobasilar artery aneurysm.Materials and methods. From 2011 to 2017, 26 patients underwent endovascular occlusion of the ruptured vertebrobasilar artery aneurysm in an acute period of hemorrhage in Surgut Clinical Hospital for Traumatology.Results. Endovascular interventions were performed in 1–14 days after the episode of the primary subarachnoid hemorrhage. Among the patients 53.8 % were in good condition at admission (Hunt–Hess grade I–II), 46.2 % had moderate and severe neurologic disability (Hunt–Hess grade III–IV). A good and satisfactory degree of aneurysm occlusion was achieved in 18 (69.3 %). Favorable outcome (modified Rankin Scale (mRS) 0–2) was achieved in 21 (80.7 %); 1 (3.7 %) had severe disability (mRS 4), 2 (7.8 %) – vegetative state (mRS 5). Lethal outcome (mRS 6) occurred in 2 (7.8 %). Unfavorable outcomes were caused by a severe vasospasm.Conclusions. Endovascular occlusion of vertebrobasilar artery aneurysms in the acute period of hemorrhage is an effective and safe method of treatment in patients with Hunt–Hess grade I–IV.

scholarly journals Anterior inferior cerebellar artery aneurysms: Segments and results of surgical and endovascular managements

2016 ◽  
Vol 22 (6) ◽  
pp. 643-648 ◽  
Author(s):  
Xianli Lv ◽  
Huijian Ge ◽  
Hongwei He ◽  
Chuhan Jiang ◽  
Youxiang Li
Keyword(s):  
Hearing Loss ◽  
Subarachnoid Hemorrhage ◽  
Surgical Treatment ◽  
Endovascular Treatment ◽  
Patient Outcomes ◽  
Facial Palsy ◽  
Artery Aneurysm ◽  
Anterior Inferior Cerebellar Artery ◽  
Cerebellar Artery ◽  
Cerebellar Symptoms

Background Anterior inferior cerebellar artery (AICA) aneurysms are rare and published clinical experience with these aneurysms is limited. Objective The objective of this article is to report angiographic characteristics and results associated with premeatal, meatal and postmeatal segments, surgical and endovascular therapies. Methods A literature review was performed through PubMed using “anterior inferior cerebellar artery aneurysm” through January 2016. Clinical data, angiograms, management techniques, and patient outcomes were reviewed for 47 collected cases in 30 previous reports. Results Of these aneurysms, 21 (44.7%) were associated with meatal segment, 10 (21.3%) were postmeatal and 16 (34.0%) were premeatal. Patients with meatal aneurysms are more likely to present with subarachnoid hemorrhage and hearing loss and facial palsy (77.8%). Patient outcomes of meatal aneurysms presented with more neuropathies (51.7%) and cerebellar symptoms (14.3%) ( p = 0.049). Four cases of meatal aneurysm with preoperative cranial nerve deficits (two VII and two VIII) showed improvement after surgery. Endovascular treatment achieved outcomes similar to surgical treatment ( p = 0.327). Conclusions AICA aneurysms have a predilection for meatal segment. Patients with meatal aneurysms are more likely to present with subarachnoid hemorrhage and hearing loss and facial palsy. Patient outcomes of meatal aneurysms presented with more neuropathies and cerebellar symptoms. Endovascular treatment achieved outcomes similar to surgical treatment.

scholarly journals Perianeurysmal vasogenic oedema (PAVO) following aneurysm embolisation: a unique case of asymptomatic long-term progression and review of the literature

2018 ◽  
pp. bcr-2018-225625
Author(s):  
Anthony Ernest Robinson ◽  
Constantine Chris Phatouros
Keyword(s):  
Artery Aneurysm ◽  
Review Of The Literature ◽  
Middle Cerebral Artery Aneurysm ◽  
Coil Embolisation ◽  
Unique Case ◽  
Vasogenic Oedema ◽  
Platinum Coil ◽  
Cerebral Artery Aneurysm ◽  
Bare Platinum Coil

Perianeurysmal vasogenic oedema is a recognised although rare phenomenon following endovascular treatment of certain intracranial aneurysms. We present a unique case of asymptomatic perianeurysmal vasogenic oedema following bare platinum coil embolisation of an incidentally discovered right middle cerebral artery aneurysm that slowly increased over a period of 6 years before stabilising and regressing. During this time, the coiled aneurysm per se remained completely stable on serial magnetic resonance angiography.

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.

Sign in / Sign up

Export Citation Format

Share Document