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[Ophthalmic artery aneurysms].

S D Vega-Basulto1, F G Gutiérrez-Muñoz, G Mosquera-Betancourt

  • 1Servicio de Neurocirugĺa, Hospital Manuel Ascunce Doménech, Camagüey, Cuba.

Neurocirugia (Asturias, Spain)
|September 9, 2006
PubMed
Summary
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Ophthalmic artery aneurysms, though rare, can be effectively treated with microsurgery. This approach led to good recovery of neurological and visual deficits in most patients, including those with large or giant aneurysms.

Area of Science:

  • Neurosurgery
  • Vascular Neurology
  • Ophthalmology

Context:

  • Ophthalmic artery aneurysms are rare cerebrovascular lesions with unique characteristics.
  • These aneurysms can lead to significant neurological and visual deficits.
  • Surgical management of ophthalmic artery aneurysms presents specific challenges.

Purpose:

  • To present the anatomoclinical and surgical characteristics of patients with ophthalmic artery aneurysms.
  • To analyze the surgical outcomes of treating these aneurysms.
  • To evaluate the efficacy of microsurgical techniques for ophthalmic artery aneurysms.

Summary:

  • A retrospective analysis of 50 patients with ophthalmic artery aneurysms treated between 1982 and 2004.
  • Patients included those with unique, multiple, bilateral, large, and giant aneurysms.

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  • Microsurgical techniques, including a modified retrograde decompression-suction method, were employed.
  • Impact:

    • Microsurgery resulted in complete recovery for 60% of patients and incomplete recovery for 28%.
    • Postoperative neurological deficits resolved in 50%, and visual deficits improved in 64% within three months.
    • The study demonstrates the effectiveness of microsurgical treatment for ophthalmic artery aneurysms, improving patient outcomes.