The successful surgical treatment of giant left ophthalmic aneurysm
https://doi.org/10.17650/1683-3295-2014-0-4-70-74
Abstract
This article presents the clinical case of successful surgical treatment of patient suffered from rare and complex cerebrovascular pathology - giant partially thrombosed ophthalmic aneurysm of left internal carotid artery, manifesting with dislocation syndrome and development of right-sided hemiparesis. The aneurysm dimensions were 49х52х49 mm (sagittal/vertical/axial) according to brain CT data, the midline shift was 17 mm to the right. The following operative treatment was performed: left-sided pterional craniotomy, performing of extracranial-to-intracranial low flow bypass between frontal branch of left superficial artery and cortical branch of left middle cerebral artery (STA-MCA bypass); the clipping of aneurismal neck, thrombectomy and resection of aneurismal sac. This presented clinical case demonstrates the defensibility of STA-MCA bypass in case of necessity of long temporary trepping while performing the reconstructive operations because of giant cerebral aneurysms.
About the Authors
A. V. Dubovoy
ФГБУ «Федеральный центр нейрохирургии»
Russian Federation
Russian Federation
K. S. Ovsyannikov
ФГБУ «Федеральный центр нейрохирургии»
Russian Federation
Russian Federation
D. A. Rzaev
ФГБУ «Федеральный центр нейрохирургии»
Russian Federation
Russian Federation
M. A. Amelin
ФГБУ «Федеральный центр нейрохирургии»
Russian Federation
Russian Federation
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Review
For citations:
Dubovoy A.V., Ovsyannikov K.S., Rzaev D.A., Amelin M.A. The successful surgical treatment of giant left ophthalmic aneurysm. Russian journal of neurosurgery. 2014;(4):70-74. (In Russ.) https://doi.org/10.17650/1683-3295-2014-0-4-70-74
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