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Pilipenko Iu.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Shekhtman O.D.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Éliava Sh.Sh.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Dubovoy A.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Serova N.K.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Kuchina O.B.

Burdenko Neurosurgical Institute, Moscow, Russia

Konovalov An.N.

Burdenko Neurosurgical Institute, Moscow, Russia

Improvement of visual functions after successful microsurgical exclusion of a giant aneurysm of the right internal carotid artery using revascularization techniques

Authors:

Pilipenko Iu.V., Shekhtman O.D., Éliava Sh.Sh., Dubovoy A.V., Serova N.K., Kuchina O.B., Konovalov An.N.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2016;80(5): 98‑105

DOI: 10.17116/neiro201680598-104

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Table of contents

IMPROVEMENT OF VISUAL FUNCTIONS AFTER SUCCESSFUL MICROSURGICAL EXCLUSION OF A GIANT ANEURYSM OF THE RIGHT INTERNAL CAROTID ARTERY USING REVASCULARIZATION TECHNIQUES
IMPROVEMENT OF VISUAL FUNCTIONS AFTER SUCCESSFUL MICROSURGICAL EXCLUSION OF A GIANT ANEURYSM OF THE RIGHT INTERNAL CAROTID ARTERY USING REVASCULARIZATION TECHNIQUES

To cite this article:

Pilipenko IuV, Shekhtman OD, Éliava ShSh, Dubovoy AV, Serova NK, Kuchina OB, Konovalov AnN. Improvement of visual functions after successful microsurgical exclusion of a giant aneurysm of the right internal carotid artery using revascularization techniques. Burdenko's Journal of Neurosurgery. 2016;80(5):98‑105. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201680598-104

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We describe a clinical case of successful treatment of a female patient with a giant paraclinoid aneurysm of the right ICA. The aneurysm had a pseudotumoral course and manifested as pronounced progressive visual impairments. The patient underwent microsurgery including trapping/clipping of the right ICA aneurysm after creation of an EICMA and a high-flow anastomosis between the ECA and the M2 segment of the MCA. The surgery enabled decompression of the optic nerves, avoiding their injury. Postoperatively, the patient underwent transcutaneous electrical stimulation of the optic nerves. The case feature was that the patient developed gradual restoration of the blind eye vision.

Keywords:

giant aneurysm
revascularization
anastomosis
optic nerve electrical stimulation

Authors:

Pilipenko Iu.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Shekhtman O.D.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Éliava Sh.Sh.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Dubovoy A.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Serova N.K.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Kuchina O.B.

Burdenko Neurosurgical Institute, Moscow, Russia

Konovalov An.N.

Burdenko Neurosurgical Institute, Moscow, Russia

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