Abstract
A ruptured saccular intracranial and intracanalicular aneurysm of the ophthalmic artery was found in a 27-year-old male patient with no relevant medical history. He presented to the hospital 2 days after the onset of a thunderclap headache, nausea, some vomiting, subconjunctival hemorrhage, and nonprogressive visual loss in his left eye. After balloon occlusion test run, the patient underwent elective treatment of the true aneurysm of the ophthalmic artery in which a Flow Re-direction Endoluminal Device (FRED Jr.; MicroVention) was inserted. DSA follow-up examinations at 3 and 6 months confirmed complete obliteration of the target aneurysm as well as a completely remodeled left ophthalmic artery. The visual acuity of the left eye improved to finger-count status. The main topic of this chapter is the management of a rare case of a ruptured intracranial and intracanalicular aneurysm of the ophthalmic artery, which was treated with a flow diverter stent.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cantón G, Levy DI, Lasheras JC. Hemodynamic changes due to stent placement in bifurcating intracranial aneurysms. J Neurosurg. 2005;103(1):146–55. https://doi.org/10.3171/jns.2005.103.1.0146.
Choi BK, Lee TH, Choi CH, Lee SW. Fusiform intracanalicular ophthalmic artery aneurysm; case report and review of literature. J Korean Neurosurg Soc. 2008;44(1):43–6. https://doi.org/10.3340/jkns.2008.44.1.43.
Dehdashti AR, Safran AB, Martin JB, Rüfenacht DA, de Tribolet N. Intraorbital ophthalmic artery aneurysm associated with basilar tip saccular aneurysm. Neuroradiology. 2002;44(7):600–3.
Drake CG, Vanderlinden RG, Amacher AL. Carotid-ophthalmic aneurysms. J Neurosurg. 1968;29(1):24–31. https://doi.org/10.3171/jns.1968.29.1.0024.
Jain KK. Saccular aneurysm of the ophthalmic artery. Am J Ophthalmol. 1970;69(6):997–8. https://doi.org/10.1016/0002-9394(70)91045-7.
Ogawa A, Tominaga T, Yoshimoto T, Kiyosawa M. Intraorbital ophthalmic artery aneurysm: case report. Neurosurgery. 1992;31(6):1102–4; discussion 1104. https://doi.org/10.1227/00006123-199212000-00017.
Piché SL, Haw CS, Redekop GJ, Heran MK. Rare intracanalicular ophthalmic aneurysm: endovascular treatment and review of the literature. AJNR Am J Neuroradiol. 2005;26(8):1929–31.
Qiao L, Wang H, Mao L, Chen S, Xie W, Wu Q. Peripheral ophthalmic artery aneurysm. Neurosurg Rev. 2011;34(1):29–38. https://doi.org/10.1007/s10143-010-0290-5.
Raitta C. Ophthalmic artery aneurysm causing optic atrophy and enlargement of the optic foramen. Br J Ophthalmol. 1968;52(9):707–9. https://doi.org/10.1136/bjo.52.9.707.
Rengachary SS, Kishore PR. Intraorbital ophthalmic aneurysms and arteriovenous fistulae. Surg Neurol. 1978;9(1):35–41.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this entry
Cite this entry
Sirakov, S., Sirakov, A., Henkes, H. (2020). Ophthalmic Artery Aneurysm: Subarachnoid Hemorrhage and Visual Disturbance due to a Ruptured Intracranial and Intracanalicular Ophthalmic Artery Aneurysm; Endovascular Remodeling of the Ophthalmic Artery via Flow Re-Direction Endoluminal Device (FRED Jr.); Resolution of the Visual Disturbance; Short-Term Clinical and Radiological Follow-Up. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-77827-3_139
Download citation
DOI: https://doi.org/10.1007/978-3-319-77827-3_139
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-77826-6
Online ISBN: 978-3-319-77827-3
eBook Packages: MedicineReference Module Medicine