Open AccessCoil Embolization of Traumatic Ophthalmic Artery Aneurysm: Case Report
Author(s) -
Yu Shik Shim
Publication year - 2022
Publication title -
korean journal of neurotrauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.19
H-Index - 3
eISSN - 2288-2243
pISSN - 2234-8999
DOI - 10.13004/kjnt.2022.18.e2
Subject(s) - medicine , ophthalmic artery , digital subtraction angiography , aneurysm , embolization , radiology , subarachnoid hemorrhage , angiography , guglielmi detachable coil , dissection (medical) , surgery , endovascular treatment , blood flow
We describe the case of a 57-year-old man who had traumatic subarachnoid hemorrhage (SAH) with a delayed growth of an ophthalmic artery aneurysm. Initially, computed tomography angiography did not show any evidence of aneurysmal dilatation, but digital subtraction angiography (DSA) after 3 days showed small aneurysmal dilatation or dissection of a presumed lesion. Early intervention or surgery was difficult because of the patient's unstable condition. The SAH was completely resolved within 7 days. Follow-up DSA was performed 2 weeks later and it revealed an increasing size and shape change. We treated the patient with coil embolization, partially filling the aneurysm to save the ophthalmic artery. DSA performed 6 months later indicated that the aneurysm was completely embolized, sparing the ophthalmic artery. In traumatic SAH, delayed growth of the aneurysm should always be considered, and follow-up imaging should be performed. Partial embolization to save the ophthalmic artery can be one of the treatment modalities for selected patients.