Microsurgical treatment of carotid-ophthalmic aneurysm associated with multiple anterior and posterior circulation aneurysms: A case report

• Published in: Medicine (Baltimore) 2017-04, Vol.96 (16), p.e6672-e6672
• Main Authors: Wang, Jiantao, Kan, Zhisheng, Wang, Shuo
• Format: Article
• Language: English
• Subjects: Basilar Artery - surgery; Clinical Case Report; Female; Humans; Intracranial Aneurysm - surgery; Microsurgery - methods; Middle Aged; Ophthalmic Artery - surgery; Vascular Surgical Procedures - methods
• ISSN: 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000006672

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. 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. After surgery, the patient reported feeling well. One year after surgery, the patient had no SAH recurrence. 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.