Ophthalmic Artery Aneurysm: Flow-Induced Intracranial and Intraorbital (“Peripheral”) Ophthalmic Artery Aneurysms, Associated with a Tentorial Dural Arteriovenous Fistula, Supplied by the Ophthalmic Artery; Endovascular Treatment of the Dural Arteriovenous Fistula and One Aneurysm; and Conservative Management of the Remaining Ophthalmic Artery Aneurysms

Abstract

A 77-year-old male patient was admitted with a spontaneous ventricular hemorrhage, graded as Hunt and Hess III. DSA revealed a rightsided tentorial dural arteriovenous fistula (dAVF) with a large varix of a draining vein as the source of this ventricular hemorrhage. The deep recurrent meningeal artery of the right ophthalmic artery (OA) was, among other dural arteries, supplying the dAVF. Three aneurysms were found on the OA: one located in the intracranial OA segment, one in