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Carotid-ophthalmic aneurysms

A series of 16 cases treated by direct approach

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Summary

A series of 16 cases of carotid-ophthalmic aneurysm treated by direct approach is reported and the following points are emphasized:

  • the aneurysm was associated with signs of optic nerve compression in half of the cases.

  • angiography did not always disclose the possibilities and the hazards of direct surgery.

  • indirect surgery (common carotid ligation) did not prevent the aneurysm from growing or restore useful vision. On the other hand, ligation of the aneurysmal neck or local trapping, where necessary, followed by removal of the aneurysm resulted in marked improvement of impaired vision. The hazard of ophthalmic artery occlusion is stressed.

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References

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Author notes

  1. B. Guidetti

    Present address: Institute of Neurosurgery, Rome University Medical School, Rome, Italy

Authors and Affiliations

  1. Institute of Neurosurgery, Rome University Medical School, Rome, Italy

    E. La Torre

Authors
  1. B. Guidetti
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  2. E. La Torre
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Guidetti, B., Torre, E.L. Carotid-ophthalmic aneurysms. Acta neurochir 22, 289–304 (1970). https://doi.org/10.1007/BF01402996

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  • DOI: https://doi.org/10.1007/BF01402996

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