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Peripheral ophthalmic artery aneurysm

Report of two cases

Shoichiro Kawaguchi, Toshisuke Sakaki, Shuzo Okuno, Yoshitomo Uchiyama, and Toshikazu Nishioka

, Sheng WY , Yen MY , et al : Color Doppler imaging of orbital arteries for detection of carotid occlusive disease. Stroke 24 : 1196 – 1203 , 1993 Hu HH, Sheng WY, Yen MY, et al: Color Doppler imaging of orbital arteries for detection of carotid occlusive disease. Stroke 24: 1196–1203, 1993 10.1161/01.STR.24.8.1196 4. Jain KK : Saccular aneurysm of the ophthalmic artery. Am J Ophthalmol 69 : 997 – 998 , 1970 Jain KK: Saccular aneurysm of the ophthalmic artery. Am J Ophthalmol 69: 997–998, 1970 10

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Abnormal origin of bilateral ophthalmic arteries

Case report

Jun-ichiro Hamada, Isao Kitamura, Masahito Kurino, Nobuyuki Sueyoshi, Shozaburo Uemura, and Yukitaka Ushio

N ormally , the ophthalmic artery arises as the first major branch of the internal carotid artery as it pierces the dura to emerge from the cavernous sinus on the medial side of the anterior clinoid process. Abnormal origins of the ophthalmic artery are closely related to fetal anastomoses and most frequently involve the middle meningeal artery. Reported variants have included the origin of the ophthalmic artery from the middle cerebral artery 1, 2 and the posterior communicating artery. 3 In these cases, either the ipsilateral or both carotid arteries have

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Interhemispheric approach for carotid-ophthalmic artery aneurysm clipping

Case report

Nobuhiko Aoki

T he direct surgical approach to a carotid-ophthalmic artery aneurysm is still a difficult problem. At present, the pterional and the subfrontal approaches are commonly employed to clip such aneurysms. 1–3, 7 Successful treatment using a contralateral pterional approach has also been reported. 4, 5 Because of the anatomical relationship between the optic nerve and the internal carotid artery, however, clipping of the aneurysmal neck is not infrequently associated with excessive retraction of the frontal lobe or inadequate mobilization of the optic nerve

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A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms

Vinko V. Dolenc

A neurysms arising from the internal carotid artery (ICA) between the ophthalmic artery and the posterior communicating artery, at any point of the circumference, are referred to as carotid-ophthalmic artery aneurysms. 6–8, 10, 14, 17, 19 Aneurysms occurring on this segment of the ICA are uncommon and account for only 5% of all intracranial aneurysms. 3, 12 The majority of these aneurysms arise from the medial half of the ICA circumference, close to the ophthalmic artery. They are frequently large or giant in size. The following classification of carotid-ophthalmic

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Pulsating unilateral exophthalmos due to traumatic aneurysm of the intraorbital ophthalmic artery

Case report

Hamid Rahmat, Kazem Abbassioun, and Abbass Amirjamshidi

P ulsating exophthalmos can be caused by traumatic or spontaneous carotid cavernous fistulas 16 leading to secondary intraorbital varices, primary intraorbital varices due to trauma, 19 orbital 18, 19 or remote arteriovenous malformations, 14, 15 highly vascular tumors of the orbit, 19 spontaneous or traumatic “blood-cysts” of the orbit 18 with intracranial connection, 20 traumatic arteriovenous fistulas between the ophthalmic artery and one of the ophthalmic veins, 9, 11 and any primary or secondary bone defect of the orbital cavity leading to

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Relationship between the ophthalmic artery and the dural ring of the internal carotid artery

Clinical article

Tetsuyoshi Horiuchi, Yuichiro Tanaka, Yoshikazu Kusano, Takehiro Yako, Tetsuo Sasaki, and Kazuhiro Hongo

08766. References 1 Erdogmus S , Govsa F : Anatomic features of the intracranial and intracanalicular portions of ophthalmic artery: for the surgical procedures . Neurosurg Rev 29 : 213 – 218 , 2006 2 Gibo H , Lenkey C , Rhoton AL Jr : Microsurgical anatomy of the supraclinoid portion of the internal carotid artery . J Neurosurg 55 : 560 – 574 , 1981 3 Hokama M , Hongo K , Gibo H , Kyoshima K , Kobayashi S : Microsurgical anatomy of the ophthalmic artery and the distal dural ring for the juxta-dural ring aneurysms via

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Retrograde suction decompression of an ophthalmic artery aneurysm using balloon occlusion

Technical note

John A. Scott, Terry G. Horner, and Thomas J. Leipzig

B atjer and Samson 1 reported the technique of retrograde suction decompression of paraclinoid aneurysms using an intravenous catheter surgically placed in the cervical internal carotid artery (ICA). Shucart, et al. , 2 described temporary proximal balloon occlusion of parent vessels during aneurysm clipping. We report a method that combines these two techniques. It facilitated the surgical management of a patient with a large ophthalmic artery aneurysm, and avoided the necessity for surgical exposure of the cervical ICA. The patient was a 41-year

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Interdural origin of the ophthalmic artery at the dural ring of the internal carotid artery

Report of two cases

Kazuhiko Kyoshima, Susumu Oikawa, and Shigeaki Kobayashi

C, Rhoton AL Jr: Microsurgical anatomy of the supraclinoid portion of the internal carotid artery. J Neurosurg 55: 560–574, 1981 10.3171/jns.1981.55.4.0560 3. Hayreh SS : The ophthalmic artery. Section I. Normal gross anatomy , in Newton TH , Potts DG (eds): Radiology of the Skull and Brain. Saint Louis : CV Mosby , 1974 , Vol 2 , pp 1333 – 1350 Hayreh SS: The ophthalmic artery. Section I. Normal gross anatomy, in Newton TH, Potts DG (eds): Radiology of the Skull and Brain. Saint Louis: CV Mosby, 1974, Vol 2, pp 1333–1350 4. Kyoshima K

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A comparative propensity-adjusted analysis of microsurgical versus endovascular treatment of unruptured ophthalmic artery aneurysms

Joshua S. Catapano, Stefan W. Koester, Visish M. Srinivasan, Mohamed A. Labib, Neil Majmundar, Candice L. Nguyen, Caleb Rutledge, Tyler S. Cole, Jacob F. Baranoski, Andrew F. Ducruet, Felipe C. Albuquerque, Robert F. Spetzler, and Michael T. Lawton

ophthalmic segment. A clinical and anatomical analysis . J Neurosurg . 1990 ; 72 ( 5 ): 677 – 691 . 10.3171/jns.1990.72.5.0677 2324793 3 Drake CG , Vanderlinden RG , Amacher AL . Carotid-ophthalmic aneurysms . J Neurosurg . 1968 ; 29 ( 1 ): 24 – 31 . 5674088 10.3171/jns.1968.29.1.0024 4 Kamide T , Tabani H , Safaee MM , Burkhardt JK , Lawton MT . Microsurgical clipping of ophthalmic artery aneurysms: surgical results and visual outcomes with 208 aneurysms . J Neurosurg . 2018 ; 129 ( 6 ): 1511 – 1521 . 29372879 10.3171/2017.7.JNS17673 5

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Relationship between ophthalmic artery flow direction and visual deterioration after carotid angioplasty and stenting

Yung Ki Park, Kijeong Lee, Byung Ju Jung, Jaseong Koo, Bum-Soo Kim, Yong Sam Shin, and Jai Ho Choi

C arotid revascularization is an effective treatment for preventing cerebral ischemia in internal carotid artery (ICA) stenosis. 6 , 7 Carotid angioplasty and stenting (CAS) is widely used as an alternative treatment for patients at high surgical risk for carotid endarterectomy. 3 , 23 Visual symptoms such as amaurosis fugax accompany each other, especially in patients with high-grade ICA stenosis. 16 Flow reversal in the ophthalmic artery (OA) is a strong predictor of tight stenosis of the ICA and implies lack of collateral flow. 21 A study evaluating OA