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
supraclinoid carotid artery. The patient underwent microsurgical drugs, materials, or devices described in this article.

OPERATIVE NEUROSURGERY VOLUME 0 | NUMBER 0 | 2017 | 1

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on 16 January 2018