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Acta Neurochirurgica

, Volume 160, Issue 5, pp 913–917 | Cite as

Traumatic subarachnoid hemorrhage related to ophthalmic artery avulsion: a case report

  • Alessandro Prior
  • Luca Allegretti
  • Ilaria Melloni
  • Marta Bovio
  • Francesco Laganà
  • Marco Ceraudo
  • Gianluigi Zona
Case Report - Brain Injury
  • 106 Downloads

Abstract

We present a case of ophthalmic artery (OA) traumatic avulsion, leading to a post-traumatic subarachnoid hemorrhage (SAH) with ventricular blood invasion and hydrocephalus, mimicking an internal carotid aneurysm rupture. This is the third case of such an event reported in literature and the first without orbital fractures and optic nerve avulsion. Conservative treatment was sufficient for the avulsion, but surgery was needed for the coexisting eye luxation. Traumatic OA avulsion is a rare but possible event and should be suspected in case of basal cisterns SAH, evidence of orbital trauma and CT angiogram or angiographic absence of opacification of the OA.

Keywords

Ophthalmic artery avulsion Traumatic SAH Brain trauma Ophthalmic artery Orbital trauma 

Abbreviations

COPD

Chronic obstructive pulmonary disease

CT

Computed tomography

EVD

External Ventricular Drainage

ER

Emergency Department

ICP

Intracranial pressure

ICU

Intensive care unit

OA

Ophthalmic artery

SAH

Subarachnoid hemorrhage

TBI

Traumatic Brain Injury

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

The next of kin has consented to submission of this case report to the journal.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Clinica Neurochirurgica e Neurotraumatologica, IRCCS Policlinico San MartinoGenoaItaly
  2. 2.U.O. Neuroradiologia, IRCCS Policlinico San MartinoGenoaItaly
  3. 3.U.O. Medicina e Chirurgia d’Accettazione e Urgenza, IRCCS Policlinico San MartinoGenoaItaly
  4. 4.U.O. Chirurgia Maxillo-faciale, IRCCS Policlinico San MartinoGenoaItaly

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