Ruptured aneurysm of the ophthalmic artery trunk demonstrated by three-dimensional rotational angiography: Case report

Kiyoyuki Yanaka, Yuji Matsumaru, Takao Kamezaki, Tadao Nose, Christopher S. Ogilvy, Yukinari Kakizawa, Shigeaki Kobayashi, H. Hunt Batjer

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

OBJECTIVE AND IMPORTANCE: Aneurysms arising from the ophthalmic artery are extremely rare, compared with carotid-ophthalmic aneurysms arising from the wall of the internal carotid artery. We present a very unusual type of aneurysm arising from the ophthalmic artery itself. CLINICAL PRESENTATION: A 54-year-old man presented with a sudden onset of headache and was transferred to a local hospital. Computed tomography demonstrated subarachnoid hemorrhage around the left anterior clinoid process, but digital subtraction angiography failed to localize the source of the hemorrhage. The patient was referred to our hospital for further evaluation and treatment. Conventional cerebral angiography did not reveal the source of the hemorrhage, but three-dimensional rotational angiography clearly demonstrated an aneurysm arising from the ophthalmic artery trunk, apart from the internal carotid artery. INTERVENTION: The patient underwent microsurgical clipping of the aneurysm via a left pterional craniotomy. The aneurysm originated from the bifurcation of the ophthalmic artery and a perforating artery to the optic nerve. The aneurysm was successfully obliterated, and the postoperative course was uneventful. CONCLUSION: This report is the first to describe a case of a ruptured aneurysm arising from the ophthalmic artery trunk. We discuss the clinical significance of an aneurysm at this site, as well as the role of three-dimensional rotational angiography in determining the source of subarachnoid hemorrhage.

Original languageEnglish (US)
Pages (from-to)1066-1070
Number of pages5
JournalNeurosurgery
Volume51
Issue number4
DOIs
StatePublished - Oct 1 2002

Keywords

  • Aneurysm
  • Angiography
  • Ophthalmic artery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Ruptured aneurysm of the ophthalmic artery trunk demonstrated by three-dimensional rotational angiography: Case report'. Together they form a unique fingerprint.

  • Cite this