J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803427
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Microsurgical Clipping of a Type B Ophthalmic Artery Aneurysm via a Cranio-orbital Approach with Extradural Clinoidectomy

John E. Dugan
1   University of Tennessee Health Science Center, Memphis, Tennessee, United States
,
Sean M. Himel
1   University of Tennessee Health Science Center, Memphis, Tennessee, United States
,
Kara A. Parikh
1   University of Tennessee Health Science Center, Memphis, Tennessee, United States
,
Nickalus R. Khan
2   Semmes Murphey Neurologic & Spine Clinic, Memphis, Tennessee, United States
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Ophthalmic artery (OA) aneurysms account for 5% of cerebral aneurysms and vary in their anatomical relationship to the OA. The optimal treatment—whether microsurgical clipping or endovascular techniques—depends on these variations. We present a case of an incidentally discovered OA aneurysm in a healthy young female, demonstrating type B morphology. Microsurgical clipping was chosen, performed via a cranio-orbital approach with an extradural clinoidectomy. The case, surgical details, and outcomes are reviewed.



Publication History

Article published online:
07 February 2025

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