Publicação
Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm
| Resumo: | A 56-year-old woman underwent surgery for a ruptured carotid-ophthalmic artery aneurysm. Intraoperative visual inspection confirmed that the ophthalmic artery was left intact. She had no light perception on the operated side right after surgery. Angiography one week after surgery confirmed exclusion of the aneurysm, no filling of the proximal portion of the ophthalmic artery, and a very faint filling of its distal orbital part. She gradually recovered from this deficit and 9 months after surgery she is capable of counting fingers. At this time angiography displayed filling of all the portions of the ophthalmic artery, absence of recruitment of collateral blood supply, and exclusion of the aneurysm as before. Surgical manipulation seems to either have induced vasospasm or thrombosis of the ophthalmic artery. Regression of vasospasm or secondary recanalization of the thrombus without development of collateral blood supply may account for the gradual improvement of vision. A risk of monocular blindness is associated with the surgical treatment of para-clinoid aneurysms. Nevertheless, when it occurs, a perspective of recovery may exist if certain etiologies are involved. |
|---|---|
| Autores principais: | Mascarenhas, L |
| Outros Autores: | Ribeiro, M; Guimarães, S; Rocha, J; Alegria, C |
| Assunto: | Aneurisma Intracraniano Artéria Oftálmica Artérias Carótidas Procedimentos Neurocirúrgicos |
| Ano: | 2010 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Hospital de Braga |
| Idioma: | inglês |
| Origem: | Repositório Científico do Hospital de Braga |
| _version_ | 1868351057147461632 |
|---|---|
| author | Mascarenhas, L |
| author2 | Ribeiro, M Guimarães, S Rocha, J Alegria, C |
| author2_role | author author author author |
| author_facet | Mascarenhas, L Ribeiro, M Guimarães, S Rocha, J Alegria, C |
| author_role | author |
| contributor_name_str_mv | Repositório Científico do Hospital de Braga |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Mascarenhas, L\"},{\"Person.name\":\"Ribeiro, M\"},{\"Person.name\":\"Guimarães, S\"},{\"Person.name\":\"Rocha, J\"},{\"Person.name\":\"Alegria, C\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico do Hospital de Braga |
| datacite.creators.creator.creatorName.fl_str_mv | Mascarenhas, L Ribeiro, M Guimarães, S Rocha, J Alegria, C |
| datacite.date.Accepted.fl_str_mv | 2010-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2012-01-16T17:29:35Z |
| datacite.date.embargoed.fl_str_mv | 2012-01-16T17:29:35Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Aneurisma Intracraniano Artéria Oftálmica Artérias Carótidas Procedimentos Neurocirúrgicos |
| datacite.titles.title.fl_str_mv | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| dc.contributor.none.fl_str_mv | Repositório Científico do Hospital de Braga |
| dc.creator.none.fl_str_mv | Mascarenhas, L Ribeiro, M Guimarães, S Rocha, J Alegria, C |
| dc.date.Accepted.fl_str_mv | 2010-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2012-01-16T17:29:35Z |
| dc.date.embargoed.fl_str_mv | 2012-01-16T17:29:35Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.23/105 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Aneurisma Intracraniano Artéria Oftálmica Artérias Carótidas Procedimentos Neurocirúrgicos |
| dc.title.fl_str_mv | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | A 56-year-old woman underwent surgery for a ruptured carotid-ophthalmic artery aneurysm. Intraoperative visual inspection confirmed that the ophthalmic artery was left intact. She had no light perception on the operated side right after surgery. Angiography one week after surgery confirmed exclusion of the aneurysm, no filling of the proximal portion of the ophthalmic artery, and a very faint filling of its distal orbital part. She gradually recovered from this deficit and 9 months after surgery she is capable of counting fingers. At this time angiography displayed filling of all the portions of the ophthalmic artery, absence of recruitment of collateral blood supply, and exclusion of the aneurysm as before. Surgical manipulation seems to either have induced vasospasm or thrombosis of the ophthalmic artery. Regression of vasospasm or secondary recanalization of the thrombus without development of collateral blood supply may account for the gradual improvement of vision. A risk of monocular blindness is associated with the surgical treatment of para-clinoid aneurysms. Nevertheless, when it occurs, a perspective of recovery may exist if certain etiologies are involved. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.hospitaldebraga.pt/bitstreams/9e7a1646-1761-4210-96ec-dce60261f3c6/download |
| id | rhb_af42914d64e2fecd3fbcdcb0afd30eca |
| identifier.url.fl_str_mv | http://hdl.handle.net/10400.23/105 |
| instacron_str | hb |
| institution | Hospital de Braga |
| instname_str | Hospital de Braga |
| language | eng |
| network_acronym_str | rhb |
| network_name_str | Repositório Científico do Hospital de Braga |
| oai_identifier_str | oai:repositorio.hospitaldebraga.pt:10400.23/105 |
| organization_str_mv | urn:organizationAcronym:hb |
| person_str_mv | Mascarenhas, L Ribeiro, M Guimarães, S Rocha, J Alegria, C |
| publishDate | 2010 |
| reponame_str | Repositório Científico do Hospital de Braga |
| repository_id_str | urn:repositoryAcronym:rhb |
| service_str_mv | urn:repositoryAcronym:rhb |
| spelling | engporA 56-year-old woman underwent surgery for a ruptured carotid-ophthalmic artery aneurysm. Intraoperative visual inspection confirmed that the ophthalmic artery was left intact. She had no light perception on the operated side right after surgery. Angiography one week after surgery confirmed exclusion of the aneurysm, no filling of the proximal portion of the ophthalmic artery, and a very faint filling of its distal orbital part. She gradually recovered from this deficit and 9 months after surgery she is capable of counting fingers. At this time angiography displayed filling of all the portions of the ophthalmic artery, absence of recruitment of collateral blood supply, and exclusion of the aneurysm as before. Surgical manipulation seems to either have induced vasospasm or thrombosis of the ophthalmic artery. Regression of vasospasm or secondary recanalization of the thrombus without development of collateral blood supply may account for the gradual improvement of vision. A risk of monocular blindness is associated with the surgical treatment of para-clinoid aneurysms. Nevertheless, when it occurs, a perspective of recovery may exist if certain etiologies are involved.application/pdfporUnexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysmMascarenhas, LRibeiro, MGuimarães, SRocha, JAlegria, CHostingInstitutionOrganizationalRepositório Científico do Hospital de Bragae-mailmailto:bibliotecaria@hospitaldebraga.ptbibliotecaria@hospitaldebraga.pt2012-01-16T17:29:35Z20102010-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.23/105http://purl.org/coar/access_right/c_abf2open accessAneurisma IntracranianoArtéria OftálmicaArtérias CarótidasProcedimentos Neurocirúrgicos363897 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.hospitaldebraga.pt/bitstreams/9e7a1646-1761-4210-96ec-dce60261f3c6/download |
| spellingShingle | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm Mascarenhas, L Aneurisma Intracraniano Artéria Oftálmica Artérias Carótidas Procedimentos Neurocirúrgicos |
| status | SINGLETON |
| subject.fl_str_mv | Aneurisma Intracraniano Artéria Oftálmica Artérias Carótidas Procedimentos Neurocirúrgicos |
| title | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| title_full | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| title_fullStr | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| title_full_unstemmed | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| title_short | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| title_sort | Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm |
| topic | Aneurisma Intracraniano Artéria Oftálmica Artérias Carótidas Procedimentos Neurocirúrgicos |
| topic_facet | Aneurisma Intracraniano Artéria Oftálmica Artérias Carótidas Procedimentos Neurocirúrgicos |
| url | http://hdl.handle.net/10400.23/105 |
| visible | 1 |