Endovascular treatment for a symptomatic dissecting ophthalmic artery aneurysm occurring in the orbit: illustrative case

Although POAAs are exceptionally rare, they may lead to significant visual dysfunction owing to optic nerve compression. When visual symptoms are present, prompt intervention may reverse the symptoms. Preoperative assessment of collateral circulation using BTO is essential for treatment planning. Internal trapping may be an effective strategy when sufficient collateral flow is confirmed. https://thejns.org/doi/10.3171/CASE25483.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2025-09-29
DOI
https://doi.org/10.3171/case25483
Primary Topic
Intracranial Aneurysms: Treatment and Complications
Type
article
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article

Endovascular treatment for a symptomatic dissecting ophthalmic artery aneurysm occurring in the orbit: illustrative case

Ryu Kimura, Yuichi Hirata, Shota Tanaka, Masafumi Hiramatsu et al.
Journal of Neurosurgery Case Lessons
Intracranial Aneurysms: Treatment and Complications
article

Endovascular treatment for a symptomatic dissecting ophthalmic artery aneurysm occurring in the orbit: illustrative case

Ryu Kimura, Yuichi Hirata, Shota Tanaka, Masafumi Hiramatsu, Jun Haruma, Fukiko Baba, Juntaro Fujita, Kenji Sugiu, Yuta Sotome, Masato Kawakami, Kohei Izumihara
article en

Abstract

Although POAAs are exceptionally rare, they may lead to significant visual dysfunction owing to optic nerve compression. When visual symptoms are present, prompt intervention may reverse the symptoms. Preoperative assessment of collateral circulation using BTO is essential for treatment planning. Internal trapping may be an effective strategy when sufficient collateral flow is confirmed. https://thejns.org/doi/10.3171/CASE25483.

Journal of Neurosurgery Case LessonsVol. 10(13)
Okayama University (JP)
Openalex Percentile: Top 61%
Intracranial Aneurysms: Treatment and Complications
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Endovascular treatment for a symptomatic dissecting ophthalmic artery aneurysm occurring in the orbit: illustrative case — Ryu Kimura, Yuichi Hirata, et al. · Journal of Neurosurgery Case Lessons (2025) | TGRS Research Map | TGRS