PDF(Pubmed)
Abstract：
Bilateral ophthalmic aneurysms are rare and involve two aneurysms in the ophthalmic arteries, one on each, leading to potential symptoms such as vision loss and headaches. The treatment options for aneurysms, ranging from surgery and endovascular embolization to observation, depend on various factors, including aneurysm size and the patient\'s health. Microsurgery, while presenting complexities due to the intricate anatomy of the anterior clinoid region, offers potential advantages such as enhanced decompression rates and reduced aneurysm recurrence. The presented surgical video illustrates the treatment of bilateral ophthalmic artery aneurysms via a single craniotomy. This method reduces surgical duration and trauma, facilitating quicker patient recovery. However, this method bears potential risks, especially to both optic nerves. As underscored in the video, the utmost anatomical understanding in the anterior clinoid area is pivotal for successful outcomes and reduced complications.
摘要：
双侧眼动脉瘤很少见，涉及眼动脉中的两个动脉瘤，每人一个,导致视力下降和头痛等潜在症状。动脉瘤的治疗选择,从手术和血管内栓塞到观察，取决于各种因素，包括动脉瘤的大小和病人的健康。显微外科,虽然由于前前斜骨区域复杂的解剖结构而表现出复杂性，提供潜在的优势，如提高减压率和减少动脉瘤复发。所呈现的手术视频说明了通过单次开颅手术治疗双侧眼动脉瘤。这种方法减少了手术时间和创伤，促进患者更快的康复。然而,这种方法存在潜在风险，尤其是两个视神经.正如视频中强调的那样，对前斜骨区域的最大解剖学理解对于成功治疗和减少并发症至关重要.
