Successful Treatment of Optic Nerve Splitting secondary to an Internal Carotid Artery Ophthalmic Segment Aneurysm: case report and literature review Article Swipe
José A. García del Castillo
,
Khadija Soufi
,
Stephanie Allen
,
Dennis J. Rivet
,
Charles F. Opalak
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.inat.2023.101776
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.inat.2023.101776
Background: Ophthalmic segment aneurysms that divide the optic nerve are exceedingly rare. We present a unique case of asymptomatic optic nerve splitting secondary into internal carotid artery ophthalmic segment aneurysm that was successfully treated with flow diversion.Case Description: A 58-year-old female presented to an outside hospital with an intermittent “rubbing sound” in her right ear. Imaging was remarkable for a left anterior skull base meningioma and a left internal carotid artery ophthalmic segment aneurysm. Humphrey visual field testing confirmed lack of scotoma or visual deficit. Intraoperatively, during craniotomy for resection of the meningioma, the aneurysm dome was noted to be splitting the optic nerve with a thin layer covering the dome.Given that the patient was asymptomatic and had intact visual function, it was decided that flow diversion would be safer option than clipping to avoid any optic nerve manipulation. On follow up, the patient remained free of visual impairment with an occluded aneurysm. Conclusion: This case presentation of a unique, asymptomatic ophthalmic segment aneurysm with splitting of the optic nerve, demonstrates successful treatment with flow diversion. It is notable both for the asymptomatic presentation and for highlighting the successful treatment of this kind of aneurysm with flow diversion.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.inat.2023.101776
- OA Status
- gold
- References
- 20
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4382882849Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.inat.2023.101776Digital Object Identifier
- Title
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Successful Treatment of Optic Nerve Splitting secondary to an Internal Carotid Artery Ophthalmic Segment Aneurysm: case report and literature reviewWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-05-12Full publication date if available
- Authors
-
José A. García del Castillo, Khadija Soufi, Stephanie Allen, Dennis J. Rivet, Charles F. OpalakList of authors in order
- Landing page
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https://doi.org/10.1016/j.inat.2023.101776Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1016/j.inat.2023.101776Direct OA link when available
- Concepts
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Medicine, Optic nerve, Asymptomatic, Aneurysm, Anterior clinoid process, Ophthalmic artery, Internal carotid artery, Surgery, Craniotomy, Radiology, Anatomy, Blood flowTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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20Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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