{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T18:44:18Z","timestamp":1792262658737,"version":"4.4.0"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1985,5]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 A series of 14 patients with a carotid-ophthalmic artery aneurysm were treated operatively. In five patients the aneurysms were large, but only one of these had ruptured; four of these patients had symptoms of mass lesions. The remaining nine patients were operated on for a ruptured aneurysm; seven had subarachnoid hemorrhage due to the carotid-ophthalmic artery aneurysm and two had bleeding from another aneurysm in the presence of an asymptomatic carotid-ophthalmic artery aneurysm. All patients were treated by a combined epi- and subdural direct surgical approach, which excluded the carotid-ophthalmic artery aneurysm from the circulation and made possible the preservation of the adjacent structures. Two patients died: one a few hours after surgery from a massive thromboembolism of the pulmonary artery and another 2 months after surgery as a result of gastrointestinal bleeding. All the other patients showed postoperative improvement in symptoms and signs. This report focuses on a modified direct surgical approach involving exposure of the internal carotid artery proximal to the lesion, and of the ophthalmic artery, which is of primary importance in securing safe and complete occlusion of a carotid-ophthalmic artery aneurysm. Removal of individual bone structures at the base of the skull provides a better and safer exposure of the central segment of the internal carotid artery than does excessive and hazardous retraction of the brain.<\/jats:p>","DOI":"10.3171\/jns.1985.62.5.0667","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:15:57Z","timestamp":1241799357000},"page":"667-672","source":"Crossref","is-referenced-by-count":380,"title":["A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms"],"prefix":"10.3171","volume":"62","author":[{"given":"Vinko V.","family":"Dolenc","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Surg Neurol","first-page":"41","article-title":"Carotid-ophthalmic aneurysms.","volume":"5","author":"Almeida","year":"1976"},{"key":"b2","series-title":"Zentralbl Chir","first-page":"167","article-title":"Vort\u00e4uschung eines Hypophysentumors durch ein karotido-ophthalmisches Aneurysma.","volume":"108","author":"Assmann","year":"1983"},{"key":"b3","series-title":"Surg Neurol","first-page":"49","article-title":"Direct attack on carotid ophthalmic and large internal carotid aneurysms.","volume":"8","author":"Benedetti","year":"1977"},{"key":"b4","series-title":"Brain","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1093\/brain\/81.2.207","article-title":"The blood vessels of the human optic chiasma and their relation to those of the hypophysis and hypothalamus.","volume":"81","author":"Dawson","year":"1958"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"824","DOI":"10.3171\/jns.1983.58.6.0824","article-title":"Direct microsurgical repair of intracavernous vascular lesions.","volume":"58","author":"Dolenc","year":"1983"},{"key":"b6","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"24","DOI":"10.3171\/jns.1968.29.1.0024","article-title":"Carotid-ophthalmic aneurysms.","volume":"29","author":"Drake","year":"1968"},{"key":"b7","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S0090-3019(81)80049-3","article-title":"Carotid-ophthalmic aneurysms: visual abnormalities in 32 patients and the results of treatment.","volume":"16","author":"Ferguson","year":"1981"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"438","DOI":"10.3171\/jns.1975.42.4.0438","article-title":"Management of carotid-ophthalmic aneurysms.","volume":"42","author":"Guidetti","year":"1975"},{"key":"b9","series-title":"Acta Neurochir","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1007\/BF01587952","article-title":"Intracranial direct operation for carotid-ophthalmic aneurysm by unroofing of the optic canal.","volume":"43","author":"Iwabuchi","year":"1978"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"544","DOI":"10.3171\/jns.1971.34.4.0544","article-title":"Carotid-ophthalmic aneurysms. A study of 19 patients.","volume":"34","author":"Kothandaram","year":"1971"},{"key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"823","DOI":"10.3171\/jns.1982.57.6.0823","article-title":"Contralateral pterional approach to a carotid-ophthalmic aneurysm ruptured at surgery. Case report.","volume":"57","author":"Milenkovi\u0107","year":"1982"},{"key":"b12","series-title":"Radiologe","first-page":"137","article-title":"Carotid-ophthalmic artery aneurysm. A report of two cases.","volume":"23","author":"Nabawi","year":"1983"},{"key":"b13","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"532","DOI":"10.3171\/jns.1981.54.4.0532","article-title":"Successful clipping of carotid-ophthalmic aneurysms through a contralateral pterional approach. Report of two cases.","volume":"54","author":"Nakao","year":"1981"},{"key":"b14","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1136\/jnnp.39.9.837","article-title":"Carotid-ophthalmic aneurysms.","volume":"39","author":"Sengupta","year":"1976"},{"key":"b15","series-title":"Am J Ophthalmol","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/0002-9394(75)90133-6","article-title":"Intracranial ophthalmic artery aneurysm.","volume":"80","author":"Stern","year":"1975"},{"key":"b16","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"59","DOI":"10.3171\/jns.1969.31.1.0059","article-title":"Clip-grafts for aneurysm and small vessel surgery. Part 3: Clinical experience in intracranial internal carotid artery aneurysms.","volume":"31","author":"Sundt","year":"1969"},{"key":"b17","series-title":"Neurochirurgie","first-page":"25","article-title":"An\u00e9vrysmes carotido-ophthalmiques.","volume":"20","author":"Thurel","year":"1974"},{"key":"b18","series-title":"Advances and Technical Standards in Neurosurgery.","first-page":"113","article-title":"The operative approach to aneurysms of the anterior communicating artery","volume":"2","author":"Ya\u015fargil","year":"1975"},{"key":"b19","series-title":"Surg Neurol","first-page":"155","article-title":"Carotid-ophthalmic aneurysms: direct microsurgical approach.","volume":"8","author":"Ya\u015fargil","year":"1977"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/62\/5\/article-p667.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/62\/5\/article-p667.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/62\/5\/article-p667.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T19:08:25Z","timestamp":1658689705000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/62\/5\/article-p667.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,5]]},"references-count":19,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/jns.1985.62.5.0667","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1985,5]]}}}