Carotid-ophthalmic aneurysms: direct microsurgical approach

Area of Science:

• Neurosurgery
• Vascular Surgery
• Neurology

Background:

• Carotid-ophthalmic aneurysms are complex cerebrovascular lesions.
• These aneurysms can present unilaterally or bilaterally.
• Associated conditions like pituitary adenomas may coexist.

Purpose of the Study:

• To report on a series of surgically treated carotid-ophthalmic aneurysms.
• To discuss the anatomy, clinical presentation, and surgical management.
• To evaluate the outcomes of direct surgical intervention.

Main Methods:

• A direct surgical approach was employed for all cases.
• The series included 30 aneurysms in 25 patients (23 female, 2 male).
• Associated pathologies were noted and managed concurrently.

Main Results:

• No mortality was observed in the 25 patients treated.
• Twenty-two out of 25 patients achieved a complete recovery.
• The direct surgical approach demonstrated favorable outcomes.

Conclusions:

• Direct surgical treatment is a safe and effective option for carotid-ophthalmic aneurysms.
• Complete recovery is achievable with appropriate surgical management.
• This approach offers a high success rate for complex aneurysm cases.