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Medicine (Baltimore). 2017 Apr;96(16):e6672. doi: 10.1097/MD.0000000000006672.

Microsurgical treatment of carotid-ophthalmic aneurysm associated with multiple anterior and posterior circulation aneurysms: A case report.

Author information

1
aDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China bDepartment of Neurosurgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Abstract

BACKGROUND:

The clipping of multiple intracranial aneurysms in 1 stage is uncommon. In this case, we report clipping of an ophthalmic aneurysm associated with multiple anterior and posterior circulation aneurysms via the Dolenc approach.

METHODS:

The main symptoms of the patient are headache, along with nausea and vomiting. The patient's arteriogram revealed a wide-necked aneurysm of the right ophthalmic artery, an irregular aneurysm of the anterior communicating artery, and a basilar artery aneurysm. The surgical intervention for these aneurysms is a challenge because of the complex anatomical relationship with the surrounding structures. The 3 aneurysms, which were not amenable to a single intervention, were successfully clipped in 1 incision.

RESULTS:

After surgery, the patient reported feeling well. One year after surgery, the patient had no SAH recurrence.

CONCLUSIONS:

Occasionally, surgical treatment was used even for aneurysms of the carotid-ophthalmic artery with aneurysms of anterior communicating artery and basilar artery, which are contraindicated for interventional therapy.

PMID:
28422878
PMCID:
PMC5406094
DOI:
10.1097/MD.0000000000006672
[Indexed for MEDLINE]
Free PMC Article

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