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

doi:10.1016/j.jocn.2010.06.017

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

^*Corresponding author for this work

Hadassah University Medical Centre

Research output: Contribution to journal › Article › peer-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 language	English
Pages (from-to)	152-154
Number of pages	3
Journal	Journal of Clinical Neuroscience
Volume	18
Issue number	1
DOIs	https://doi.org/10.1016/j.jocn.2010.06.017
State	Published - Jan 2011
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

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

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10.1016/j.jocn.2010.06.017

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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.",

keywords = "Aneurysm decompression, Cerebral revascularization, Giant aneurysm, High-flow bypass, Hunterian ligation, Thrombotic aneurysm",

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AU - Attia, M.

AU - Cohen, J. E.

AU - Shapira, O. M.

AU - Eimerl, D.

AU - Gomori, M. J.

AU - Dotan, S.

AU - Spektor, S.

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AB - 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.

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KW - Cerebral revascularization

KW - Giant aneurysm

KW - High-flow bypass

KW - Hunterian ligation

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

Abstract

UN SDGs

Keywords

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