Bilateral intra-orbital ophthalmic artery aneurysms.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19415170.
- Also identified by DOI 10.1007/s00701-009-0352-z.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
A 52-year-old man presented with neck pain, nausea and vomiting (Hunt-Hess grade 1). CT scan showed subarachnoid hemorrhage. Cerebral angiography showed multiple arterial aneurysms (right communicating posterior, right anterior choroid, left pericallosal, intraorbital ophthalmic bilaterally). All aneurysms but intraorbital ophthalmic ones were treated with endovascular embolizations. As the intraorbital aneurysms were asymptomatic no treatment was performed. The patient was dismissed without any neurological deficits. Intraorbital ophthalmic aneurysms are very uncommon, with extremely rare rupture. No treatment is indicated when the aneurysm is unruptured and asymptomatic. Surgical treatment is advised only after rupture or symptomatic mass effect.
Medical subject headings
- Intracranial Aneurysm
- Ophthalmic Artery
- Orbit