Visual Evoked Potentials and Intraoperative Awakening in Ophthalmic Artery Sacrifice During Aneurysm Clipping: 2 Cases and Literature Review.

Abstract:

BACKGROUND:Complete aneurysm obliteration is the goal of aneurysm treatment. In selected cases, a neck remnant may be left to preserve a critical branch. Literature on ophthalmic artery sacrifice in the treatment of cerebral aneurysms and subsequent risk of vision loss is limited. CASE DESCRIPTION:Herein, we describe 2 cases where the ophthalmic artery originated from the aneurysm dome, resulting in a situation where we either incompletely obliterate the aneurysm or sacrifice the ophthalmic artery in order to completely clip the lesion, risking visual function. CONCLUSIONS:We report for the first time the use of visual evoked potential monitoring and intraoperative awakening to test visual function following intentional ophthalmic artery sacrifice to demonstrate gross vision preservation.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Nowicki KW,Johnson SA,Goldschmidt E,Balzer J,Gross BA,Friedlander RM

doi

10.1016/j.wneu.2020.04.196

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

395-400

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(20)30906-2

journal_volume

139

pub_type

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