2025 Proffered Presentations
V026: MICROSURGICAL CLIPPING OF A TYPE B OPHTHALMIC ARTERY ANEURYSM VIA A CRANIO-ORBITAL APPROACH WITH EXTRADURAL CLINOIDECTOMY
John E Dugan, BA1; Sean M Himel, MD1; Kara A Parikh, MD1; Nickalus R Khan, MD2; 1University of Tennessee Health Science Center; 2Semmes Murphey Neurologic & Spine Clinic
Ophthalmic artery (OA) aneurysms account for 5% of cerebral aneurysms and vary in their anatomical relationship to the OA. The optimal treatment—whether microsurgical clipping or endovascular techniques—depends on these variations. We present a case of an incidentally discovered OA aneurysm in a healthy young female, demonstrating type B morphology. Microsurgical clipping was chosen, performed via a cranio-orbital approach with an extradural clinoidectomy. The case, surgical details, and outcomes are reviewed.