SURGICAL VIDEO Intradural Anterior Clinoidectomy for Ophthalmic Artery Aneurysm Clipping: 3-Dimensional Operative Video Ricardo Lourenço Caramanti, MD, Marcos Devanir Silva da Costa, MD, MSc, Yair A. Ugalde Hernández, MD, César Augusto Ferreira Alves Filho, MD, Ricardo Wainberg, MD, Helbert Palmiero, MD, Ricardo Pagung Saick, MD, Feres Chaddad-Neto, MD, PhD Department of Neurosurgery, Federal University of São Paulo, São Paulo-SP, Brazil Watch now at https://academic.oup.com/ons/article-lookup/doi/10.1093/ons/opx225 treatment of the aneurysm with complete aneurysm occlusion in Giant ophthalmic artery aneurysms are complex intracranial the absence of new neurologic deficit. Here, the authors present aneurysms to treat. The absence of proximal control in the a 3-dimensional video of the microsurgical steps required to intracranial carotid artery and the relationship with the anterior perform anterior clinoidectomy, which are the key steps to treat clinoid process are the major contributing factors to the an aneurysm in the paraclinoid segment of the internal carotid complexity of surgical management for this type of aneurysm. artery. The patient signed the Institutional Consent Form, which We present a 35-yr-old female, with a left ophthalmic artery allows the use of his/her images and videos for any type of medical aneurysm. The patient had a history of an intracranial hemor- publications in conferences and/or scientific articles. rhagic event 5 yr earlier without etiologic investigation and was treated conservatively. She presented with a progressive headache and left eye visual deficit. An investigation via brain magnetic resonance imaging and cerebral angiogram revealed a Disclosure giant intracranial aneurysm in the ophthalmic segment of the left The authors have no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article. supraclinoid carotid artery. The patient underwent microsurgical 708 | VOLUME 14 | NUMBER 6 | JUNE 2018 www.operativeneurosurgery-online.com Downloaded from https://academic.oup.com/ons/article-abstract/14/6/708/4587635 by Ed 'DeepDyve' Gillespie user on 21 June 2018
Operative Neurosurgery – Oxford University Press
Published: Nov 2, 2017
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