Surgical Difficulties in a Case of Left Ophthalmic Artery Ruptured Aneurysm Associated with Right ICA hypoplasia - Case ReportD. Mohan, H. Moisa, A.V. Ciurea
Clinical case, no. 2, 2015
The authors present a rare case of a ruptured left ophthalmicartery aneurysm associated with right ICA hypoplasia in a 49 year old female. The particularity of the case lies in the factthat the patient had a hypoplastic right ICA which was associated with an intracranial aneurysm. In the case we present, surgery was mandatory as it represented the patients onlychance for a favorable outcome, given the lack of an adequateteam specialized in endovascular coiling. Unlike many neurosurgicalcenters in Western Europe and the US whereendovascular approaches have overtaken microsurgery, inRomania open microsurgery is frequently performed as itallows neurosurgeons to perfectly control the environmentin which they operate and minimizes possible complicationsof coiling or stenting which become more and more frequentin other countries.