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Bilateral intra-orbital ophthalmic artery aneurysms

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Abstract

Clinical details

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 embolisations. As the intraorbital aneurysms were asymptomatic no treatment was performed. The patient was dismissed without any neurological deficits.

Discussion

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.

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References

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Authors and Affiliations

  1. Institute of Neurosurgery, Catholic University, 00168, Rome, Italy

    Giovanni Sabatino, Alessio Albanese, Licia Di Muro & Enrico Marchese

Authors
  1. Giovanni Sabatino
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  2. Alessio Albanese
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  3. Licia Di Muro
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  4. Enrico Marchese
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Corresponding author

Correspondence to Giovanni Sabatino.

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Sabatino, G., Albanese, A., Di Muro, L. et al. Bilateral intra-orbital ophthalmic artery aneurysms. Acta Neurochir 151, 831–832 (2009). https://doi.org/10.1007/s00701-009-0352-z

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  • DOI: https://doi.org/10.1007/s00701-009-0352-z

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