Microsurgical treatment of carotid-ophthalmic aneurysm associated with multiple anterior and posterior circulation aneurysms
| Autor: | Jiantao Wang, Zhisheng Kan, Shuo Wang |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Nausea business.industry medicine.medical_treatment Arteriogram General Medicine Clipping (medicine) medicine.disease 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Anterior communicating artery 0302 clinical medicine Aneurysm medicine.anatomical_structure medicine.artery cardiovascular system medicine Basilar artery Vomiting cardiovascular diseases medicine.symptom business 030217 neurology & neurosurgery Artery |
| Zdroj: | Medicine. 96:e6672 |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000006672 |
| Popis: | Background The clipping of multiple intracranial aneurysms in 1 stage is uncommon. In this case, we report clipping of an ophthalmic aneurysm associated with multiple anterior and posterior circulation aneurysms via the Dolenc approach. Methods The main symptoms of the patient are headache, along with nausea and vomiting. The patient's arteriogram revealed a wide-necked aneurysm of the right ophthalmic artery, an irregular aneurysm of the anterior communicating artery, and a basilar artery aneurysm. The surgical intervention for these aneurysms is a challenge because of the complex anatomical relationship with the surrounding structures. The 3 aneurysms, which were not amenable to a single intervention, were successfully clipped in 1 incision. Results After surgery, the patient reported feeling well. One year after surgery, the patient had no SAH recurrence. Conclusions Occasionally, surgical treatment was used even for aneurysms of the carotid-ophthalmic artery with aneurysms of anterior communicating artery and basilar artery, which are contraindicated for interventional therapy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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