Fusiform Intracanalicular Ophthalmic Artery Aneurysm; Case Report and Review of Literature
Journal of Korean Neurosurgical Society
;
: 43-46, 2008.
Article
in English
| WPRIM
| ID: wpr-224911
ABSTRACT
A 35-year-old man's vision had progressively deteriorated over a 3-month period. His left visual acuity was 5/20. Enhanced orbital computed tomographic (CT) scans revealed a fusiform dilatation of the ophthalmic artery in the left optic canal. Cerebral Angiography revealed a fusiform aneurysm on the left ophthalmic artery in the optic canal, measuring 6.2 x 4.6 mm in size. Four days after admission, visual acuity dropped to hand-motion. Endovascular treatment was chosen and a microcatheter was guided into the proximal segment of the ophthalmic artery. Using 4 detachable coils, parent artery occlusion was done. Three months after the intervention, the visual acuity in his left eye improved to 20/20. Dramatic recovery of visual acuity is exceptional with an ophthalmic artery trunk aneurysm. When an occlusion of the proximal ophthalmic artery is the only treatment option in such a situation, the endovascular occlusion of the proximal ophthalmic artery is quite feasible in the sense that it does not require any optic nerve manipulation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmic Artery
/
Optic Nerve
/
Orbit
/
Parents
/
Arteries
/
Vision, Ocular
/
Cerebral Angiography
/
Visual Acuity
/
Dilatation
/
Eye
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2008
Type:
Article
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