{
    "abstract": "Endoscopic transnasal optic canal decompression is widely used in the treatment of traumatic optic neuropathy (TON) following head and craniofacial trauma. Intraoperative hemorrhage is a catastrophic surgical complication during optic canal decompression.\nWe present two cases of patients with TON who suffered unexpected intra-operative massive bleeding during endoscopic transnasal optic canal decompression. After intraoperative hemostasis was achieved, emergent cerebral angiograms demonstrated the formation of internal carotid pseudoaneurysms, which were immediately embolized with coils combined with or without Onyx with balloon assistance. One of these cases was also complicated by a postoperative cerebrospinal fluid leak, which failed to be treated with lumbar drainage but was successfully repaired with endoscopic transnasal surgery.\nThe intra-operative rupture of ICA pseudoaneurysm is a rare but catastrophic complication in TON patients. Intraoperative massive bleeding indicates rupture of ICA pseudoaneurysm. Postoperative emergency angiography and endovascular therapy should be arranged to evaluate and repair the cerebral vascular injury. Endoscopic trans-nasal surgery repairing CSF leaks resistant to lumbar drainage could be efficient and safe following pseudoaneurysm embolization.",
    "authors": [
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.",
            "firstname": "Zeran",
            "initials": "Z",
            "lastname": "Yu"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Junhui",
            "initials": "J",
            "lastname": "Qi"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Lei",
            "initials": "L",
            "lastname": "Wang"
        },
        {
            "affiliation": "Department of Obstetrics, The First People's Hospital of Yunnan, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, China.",
            "firstname": "Xiang",
            "initials": "X",
            "lastname": "Yang"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Zhengqiao",
            "initials": "Z",
            "lastname": "Liu"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Xu",
            "initials": "X",
            "lastname": "Chen"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Hongling",
            "initials": "H",
            "lastname": "Xu"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Yajie",
            "initials": "Y",
            "lastname": "Li"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Yuyun",
            "initials": "Y",
            "lastname": "Chen"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Chengguo",
            "initials": "C",
            "lastname": "Dai"
        },
        {
            "affiliation": "Department of Neurosurgery, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.\nDepartment of Neurosurgery, Beijing Tiantan Hospital Yunnan, Kunming, China.\nThe Center of Stroke, The Affiliated Hospital of Yunnan University, Second People's Hospital of Yunnan, Kunming, China.",
            "firstname": "Zhen",
            "initials": "Z",
            "lastname": "Gu"
        }
    ],
    "conclusions": "The intra-operative rupture of ICA pseudoaneurysm is a rare but catastrophic complication in TON patients. Intraoperative massive bleeding indicates rupture of ICA pseudoaneurysm. Postoperative emergency angiography and endovascular therapy should be arranged to evaluate and repair the cerebral vascular injury. Endoscopic trans-nasal surgery repairing CSF leaks resistant to lumbar drainage could be efficient and safe following pseudoaneurysm embolization.",
    "copyrights": "Copyright \u00a9 2024 Yu, Qi, Wang, Yang, Liu, Chen, Xu, Li, Chen, Dai and Gu.",
    "doi": "10.3389/fneur.2024.1382793\n10.1177/0003489420939594\n10.1016/j.wneu.2017.04.171\n10.1007/s10143-019-01208-y\n10.1155/2021/5553885\n10.1016/0039-6257(94)90145-7\n10.1007/s00417-017-3816-5\n10.1055/s-0038-1641172\n10.1016/j.nic.2014.03.001\n10.1097/TA.0b013e3181a70a25\n10.1016/j.ijom.2007.06.015\n10.1007/s10143-021-01717-9\n10.14639/0392-100X-1312\n10.3171/2018.8.JNS181048\n10.1016/j.wneu.2018.10.234\n10.3174/ajnr.A4835\n10.1177/1591019919874943\n10.1093/neuros/nyz548\n10.2147/NDT.S345163\n10.1136/bcr-2013-010968\n10.1227/01.NEU.0000255354.64077.66\n10.3171/2017.11.JNS172141\n10.31729/jnma.5860",
    "journal": "Frontiers in neurology",
    "keywords": [
        "endoscopic transnasal optic canal decompression",
        "endovascular embolization",
        "intraoperative hemorrhage",
        "pseudoaneurysm",
        "traumatic optic neuropathy"
    ],
    "methods": null,
    "publication_date": "2024-07-04",
    "pubmed_id": "38962479\n32627571\n28527685\n31758337\n33728056\n8066541\n28986670\n30815214\n25086806\n19935107\n17822873\n35034261\n30745587\n30684942\n30439523\n27256849\n31505983\n31980826\n35125870\n24347448\n17415166\n29749920\n35210651",
    "results": null,
    "title": "Managing intraoperative rupture of internal carotid pseudoaneurysms during endoscopic transnasal optic canal decompression: a case report.",
    "xml": "<Element 'PubmedArticle' at 0x788502b260c0>"
}