Left Ophthalmic Aneurysm

Contributor:

Dr. Chris Ekong

Consultants:

Dr. Mike Tymianski
Dr. J Max Findlay
Dr. John Wong

Case 22

Age: 42

Sex: Female

History: She presented in 1996 with a subarachnoid haemorrhage due to ruptured left ICA aneurysm at the level of the ophthalmic artery. I did a craniotomy and clipping of the aneurysm then. She recovered completely.
She now presents with one week of headaches and visual field defect. No haemorrhage on CT.

Question

I think the clip has definitely slipped and she now has a giant aneurysm. I think she would be a good case for either surgery or coiling. If you agree that she is an acceptable case for coiling, then I would send her for coiling. What do you think?

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