neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2016-0-4-73-77neurosurgery-376Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEИНТРАОРБИТАЛЬНАЯ АНЕВРИЗМА ГЛАЗНОЙ АРТЕРИИIntraorbital aneurysm of ophthalmic arteryКолотвиновВладимир СергеевичKolotvinovV. S.kolotvinov@gkb40.ur.ruСтраховАндрей АлександровичStrakhovA. A.noemail@neicon.ruШамовАлександр ЮрьевичShamovA. Yu.noemail@neicon.ruУлицкийИ. Р.UlitskiiI. R.noemail@neicon.ruЦориевА. Э.TsorievA. E.noemail@neicon.ruМарченкоОльга ВикторовнаMarchenkoO. V.noemail@neicon.ruОшурковП. А.OshurkovP. A.noemail@neicon.ruМАУ «Городская клиническая больница №40»Russian Federation201624112017047377Copyright © Колотвинов В.С., Страхов А.А., Шамов А.Ю., Улицкий И.Р., Цориев А.Э., Марченко О.В., Ошурков П.А., 20172017Колотвинов В.С., Страхов А.А., Шамов А.Ю., Улицкий И.Р., Цориев А.Э., Марченко О.В., Ошурков П.А.Kolotvinov V.S., Strakhov A.A., Shamov A.Y., Ulitskii I.R., Tsoriev A.E., Marchenko O.V., Oshurkov P.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/376

Аневризмы глазной артерии (ГА) - крайне редкий вариант дистальных аневризм, при которых нет сформированной тактики лечения. Цель. Обзор литературных данных и анализ тактики лечения пациента с дистальной аневризмой ГА. Материалы и метод исследования. Приведены обзор данных литературы и клиническое наблюдение пациента с аневризмой ГА (анализ медицинской документации с проспективным наблюдением за пациентом). Результаты. У пациента при церебральной ангиографии выявлена аневризма интраорбитального сегмента ГА. За время наблюдения (6 лет) отмечено увеличение аневризмы ГА в 2 раза. Эмболизация полости аневризмы микроспиралями позволила выключить аневризму из кровотока с сохранением просвета ГА без нарастания неврологического дефицита. Заключение. В представленном наблюдении хирургическая тактика основывалась на необходимости предотвращения развития зрительных нарушений у пациента за счет компрессии зрительного нерва растущей аневризмой либо гематомой в случае её разрыва. Выбранный метод хирургического лечения позволил достичь оптимального результата без дополнительной травматизации пациента.

The aneurysms of ophthalmic artery present the extremely rare variant of distal aneurysms without definitive treatment strategy. Objective. To conduct the review of literature data and to analyze the treatment strategy in pathient with ophthalmic artery aneurysm. Material and methods. The literature review has done and the treatment of the patient with ophthalmic artery aneurysm (analysis of medical records with prospective follow-up) was performed. Results. The cerebral angiography had revealed the aneurysm of intraorbital part of ophthalmic artery with the following twice increase of aneurysm during 6-years follow-up. The embolization of aneurysm with coils allowed excluding the aneurysm from blood flow with the preservation of patent ophthalmic artery without increase of neurological deficit. Conclusion. The treatment strategy concerning the presented clinical case was based on necessity for preventing the development of visual disturbances because of optic nerve compression by growing aneurysm or hematoma in case of aneurysm’s rupture. The selected treatment option allowed achieving the optimal outcome without additional trauma.

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The authors declare that there are no conflicts of interest present.