Visual failure and recovery after thrombosis of a giant carotid ophthalmic aneurysm following vascular bypass and carotid artery ligation

M. Attia, J. E. Cohen, O. M. Shapira, D. Eimerl, M. J. Gomori, S. Dotan, S. Spektor

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Thrombosis via Hunterian ligation, with or without high-flow bypass, is the definitive treatment for unclippable giant aneurysms; however, secondary deterioration may occur. We present a 67-year-old woman with an unclippable giant (33 mm) carotid ophthalmic aneurysm. High-flow external carotid artery to middle cerebral artery bypass and proximal cervical internal carotid artery Hunterian ligation achieved complete thrombosis. Subsequent expansion of the thrombosed aneurysm created mass effect with hydrocephalus, leading to marked cognitive and visual decline. Aneurysmal decompression led to improved vision and near-normal neurological function.

Original languageEnglish
Pages (from-to)152-154
Number of pages3
JournalJournal of Clinical Neuroscience
Volume18
Issue number1
DOIs
StatePublished - 1 Jan 2011
Externally publishedYes

Keywords

  • Aneurysm decompression
  • Cerebral revascularization
  • Giant aneurysm
  • High-flow bypass
  • Hunterian ligation
  • Thrombotic aneurysm

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