Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Neurosurgical Review
Published in: Neurosurgical Review 3/2006

01-07-2006 | Original Article

Anatomic features of the intracranial and intracanalicular portions of ophthalmic artery: for the surgical procedures

Authors: Senem Erdogmus, Figen Govsa

Published in: Neurosurgical Review | Issue 3/2006

Login to get access

Abstract

The intracranial and intracanalicular portions of the ophthalmic artery is suspectible to various diseases and injuries; therefore, knowledge of the microanatomy of the complex bony, dural, vascular, and neural relationships of this segment is necessary for proper diagnosis and preservation of the neurovascular structures during subfrontal, pterional and intracanalicular procedures. The artery was studied in 38 human adult cadaver specimens regarding origin, intracranial and intracanalicular portions for surgical approachs. The ophthalmic artery originated from the intradural portion of the internal carotid artery, except in 5% where the ophthalmic artery originated extradurally. The ophthalmic artery originated from medial of superior wall of internal carotid artery in 73.7%, from the central in 21% and the lateral in 5.3% of the specimens. The diameter of the ophthalmic artery at its origin was 2.25±0.3 mm on the right and 2.16±0.4 mm on the left. The intracranial and intracanalicular course of the artery was divided into short limb, angle “a”, long limb, angle “b” and distal part to the apex of the orbit. Awareness of variations in anatomic structures is paramount importance both for diagnosis and treatment of vascular lesions of the brain.
Literature
1.
Brucher J (1969) Origin of the ophthalmic artery from the middle meningeal artery. Radiology 93:51–52PubMed
2.
Cawley CM, Zipfel GJ, Day AL (1998) Surgical treatment of paraclinoid and ophthalmic aneurysms. Neurosurg Clin N Am 9(4):765–783PubMed
3.
Chen P, Dunn IF, Aglio LS, Day AL, Frerichs KU, Friedlander RM (2005) Intraoperative awakening for vision examination during ophthalmic artery aneurysm clipping: technical case report. Neurosurgery 56(2 Suppl):E440, discussion E440PubMedCrossRef
4.
Chou PI, Sadun AA, Lee H (1995) Vasculature and morphometry of the optic canal and intracanalicular optic nerve. J Neuroophthalmol 15(3):186–190PubMed
5.
Collignon F, Link M (2005) Paraclinoid and cavernous sinus regions: measurement of critical structures relevant for surgical procedure. Clin Anat 18(1):3–9PubMedCrossRef
6.
Day AL (1990) Aneurysms of the ophthalmic segment: a clinical and anatomical analysis. J Neurosurg 72(5):677–691PubMed
7.
Diamond MK (1991) Homologies of the meningeal-orbital arteries of humans: a reappraisal. J Anat 178:223–241PubMed
8.
Flaharty PM, Sergott RC, Lieb W, Bosley TM, Savino PJ (1993) Optic nerve sheath decompression may improve blood flow in anterior ischemic optic neuropathy. Ophthalmology 100(3):297–302, discussion 303–305PubMed
9.
Georgiou C, Cassell MD (1992) The foramen meningo-orbitale and its relationship to the development of the ophthalmic artery. J Anat 180(Pt 1):119–125PubMed
10.
Gibo H, Lenkey C, Rhoton AL Jr (1981) Microsurgical anatomy of the supraclinoid portion of the carotid artery. J Neurosurg 55:560–574PubMed
11.
Govsa F, Erturk M, Kayalioglu G, Pinar Y, Ozer MA, Ozgur T (1999) Neuro-arterial relations in the region of the optic canal. Surg Radiol Anat 21:329–335PubMedCrossRef
12.
Hayreh SS, Dass R (1962) The ophthalmic artery I. Origin and intra-cranial and intra-canalicular course. Brit J Ophthal 46:65–98PubMedCrossRef
13.
Hamada J, Kitamura I, Kurino M, Sueyoshi N, Uemura S, Ushio Y (1991) Abnormal origin of bilateral ophthalmic arteries. J Neurosurg 74(2):287–289PubMed
14.
Hassler W, Zenter J, Voight K (1989) Abnomal origin of the ophthalmic artery from the anterior cerebral artery. Neuroradiology 31:85–87PubMed
15.
Hiura A (1980) An anomalous ophthalmic artery arising from the middle meningeal artery. Anat Anz 147:473–476PubMed
16.
Hokama M, Hongo K, Gibo H, Kyoshima K, Kobayashi S (2001) Microsurgical anatomy of the ophthalmic artery and the distal dural ring for the juxta-dural ring aneurysms via the pterional approach. Neurol Res 23(4):331–335PubMedCrossRef
17.
Hwang JF, Chen SN, Chiu SL, Wu SL (2004) Embolic cilioretinal artery occlusion due to carotid artery dissection. Am J Ophthalmol 138(3):496–498PubMedCrossRef
18.
Jesus OD (1997) The clinoidal space: anatomical review and surgical implications. Acta Neurochir (Wien) 139:361–365CrossRef
19.
Jimenez-Castellanos J, Carmona A, Castellanos L, Catalina-Herrera CJ (1995) Microsurgical anatomy of the human ophthalmic artery: a mesoscopic study of its origin, course and collateral branches. Surg Radiol Anat 17(2):139–143PubMedCrossRef
20.
Jo-Osvatic A, Basic N, Basic V, Jukic T, Nikolic V, Stimac D (1999) Topoanatomic relations of the ophthalmic artery viewed in four horizontal layers. Surg Radiol Anat 21:371–375PubMedCrossRef
21.
Kakizawa Y, Tanaka Y, Orz Y, Iwashita T, Hongo K, Kobayashi S (2000) Parameters for contralateral approach to ophthalmic segment aneurysms of the internal carotid artery. Neurosurgery 47(5):1130–1136, discussion 1136–1137PubMedCrossRef
22.
Kaku Y, Yoshimura S, Sakai N (2004) Surgery for carotid dural ring aneurysms. Surg Neurol 61(6):546–550PubMedCrossRef
23.
Kayalioglu G, Govsa F, Erturk M, Pinar Y, Ozer MA, Ozgur T (1999) The cavernous sinus: topographic morphometry of its contents. Surg Radiol Anat 21:255–260PubMed
24.
Kerty E (1999) The ophthalmology of internal carotid artery dissection. Acta Ophthalmol Scand 77(4):418–421PubMedCrossRef
25.
Kim JM, Romano A, Sanan A, van Loveren HR, Keller JT (2000) Microsurgical anatomic features and nomenclature of the paraclinoid region. Neurosurgery 46(3):670–680, discussion 680–682PubMedCrossRef
26.
Kyoshima K, Oikawa S, Kobayashi S (2000) Interdural origin of the ophthalmic artery at the dural ring of the internal carotid artery. Report of two cases. J Neurosurg 92(3):488–489PubMed
27.
Lang J (1995) Skull Base and related structures. Atlas of clinical anatomy. Schattauer, Stuttgart, pp 112–187
28.
Liu Q, Rhoton AL Jr (2001) Middle meningeal origin of the ophthalmic artery. Neurosurgery 49(2):401–406, discussion 406–407PubMedCrossRef
29.
Martini E, Guiducci M, Campi L, Cavallini GM (2005) Ocular blood flow evaluation in injured and healthy fellow eyes. Eur J Ophthalmol 15(1):48–55PubMed
30.
Matsumura Y, Nagashima M (1999) Anatomical variations in the origin of the human ophthalmic artery with special reference to the cavernous sinus and surrounding meninges. Cells Tissues Organs 164(2):112–121PubMedCrossRef
31.
Mittra RA, Sergott RC, Flaharty PM, Lieb WE, Savino PJ, Bosley TM, Hedges TR Jr (1993) Optic nerve decompression improves hemodynamic parameters in papilledema. Ophthalmology 100(7):987–997PubMed
32.
Morandi X, Le Bourdon E, Darnault P, Brassier G, Duval JM (1998) Unusual origin of the ophthalmic artery and occlusion of the central retinal artery. Surg Radiol Anat 20(1):69–71PubMedCrossRef
33.
Natori Y, Rhoton AL Jr (1994) Transcranial approach to the orbit: microsurgical anatomy. J Neurosurg 81(1):78–86PubMedCrossRef
34.
Nishio S, Matsushima T, Fukui M, Sawada K, Kitamura K (1985) Microsurgical anatomy around the origin of the ophthalmic artery with reference to contralateral pterional surgical approach to the carotid-ophthalmic aneurysm. Acta Neurochir (Wien) 76(3–4):82–89CrossRef
35.
Pretterklieber ML, Schindler A, Krammer EB (1994) Unilateral persistence of the dorsal ophthalmic artery in man. Acta Anat (Basel) 149(4):300–305
36.
Sade B, Tampieri D, Mohr G (2004) Ophthalmic artery originating from basilar artery: a rare variant. Am J Neuroradiol 25(10):1730–1731PubMed
37.
Seoane E, Rhoton AL Jr, de Oliveira E (1998) Microsurgical anatomy of the dural collar (carotid collar) and rings around the clinoid segment of the internal carotid artery. Neurosurgery 42(4):869–884, discussion 884–886PubMedCrossRef
38.
Shimada K, Kaneko Y, Sato I, Ezure H, Murakami G (1995) Classification of the ophthalmic artery that arises from the middle meningeal artery in Japanese adults. Okajimas Folia Anat Jpn 72(2–3):163–176PubMed
39.
Tanaka Y, Hongo K, Tada T (2002) Radiometric analysis of paraclinoid carotid artery aneurysms. J Neurosurg 96:649–653PubMedCrossRef
40.
Weinberg PE, Patronas NJ, Kim KS, Melen O (1981) Anomalous origin of the ophthalmic artery in a patient with amaurosis fugax. Arch Neurol 38:315–317PubMed
Metadata
Title
Anatomic features of the intracranial and intracanalicular portions of ophthalmic artery: for the surgical procedures
Authors
Senem Erdogmus
Figen Govsa
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
Neurosurgical Review / Issue 3/2006
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-006-0028-6

Other articles of this Issue 3/2006

Neurosurgical Review 3/2006 Go to the issue

Review

Management of cerebral vasospasm

Case Report

A pituitary abscess showing high signal intensity on diffusion-weighted imaging

Original Article

Magnetic resonance imaging flow void changes after cerebrospinal fluid shunt in post-traumatic hydrocephalus: clinical correlations and outcome

Original Article

Meningiomas infiltrating the superior sagittal sinus: surgical considerations of 328 cases

Original Article

The incidence and types of sella and sphenopetrous bridges

Original Article

Shunt-related craniocerebral disproportion: treatment with cranial vault expanding procedures