Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Jan 16;11(1):e6749.
doi: 10.1002/ccr3.6749. eCollection 2023 Jan.

Rupture of a previously undiagnosed intracranial aneurysm during endoscopic dacryocystorhinostomy: A case report

Meng-Qiu Zhang  1 , Xin Wang  2
Affiliations
Case Reports

Rupture of a previously undiagnosed intracranial aneurysm during endoscopic dacryocystorhinostomy: A case report

Meng-Qiu Zhang et al. Clin Case Rep. .

Abstract

Endoscopic endonasal dacryocystorhinostomy (EE-DCR) is an effective treatment for dacryocystitis. Aneurysmal rupture is generally not considered a complication of EE-DCR under general anesthesia. Here, we present a patient with intracerebral and subarachnoid hemorrhage secondary to the rupture of an undiagnosed intracranial aneurysm during EE-DCR. Clinicians should be aware of such fatal complications when using any vasoconstrictor intraoperatively.

Keywords: case report; endoscopic endonasal dacryocystorhinostomy; intracerebral hemorrhage; intracranial aneurysm; subarachnoid hemorrhage.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

FIGURE 1
FIGURE 1
CT showed a patchy high‐density shadow in the right frontal lobe
FIGURE 2
FIGURE 2
Digital subtraction angiography demonstrated saccular aneurysms of the A1 segment of the left anterior cerebral artery and the M1 segment of the left middle cerebral artery
FIGURE 3
FIGURE 3
Endovascular coil embolization of the aneurysms
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

  • A critical update on endoscopic dacryocystorhinostomy.
    Locatello LG, Redolfi De Zan E, Caiazza N, Tarantini A, Lanzetta P, Miani C. Locatello LG, et al. Acta Otorhinolaryngol Ital. 2024 Dec;44(6):351-360. doi: 10.14639/0392-100X-N2916. Acta Otorhinolaryngol Ital. 2024. PMID: 39763460 Free PMC article.

References

    1. Ullrich K, Malhotra R, Patel BC. Dacryocystorhinostomy. StatPearls. StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC.; 2022. https://www.ncbi.nlm.nih.gov/books/NBK557851/
    1. Tsuchida T, Tanaka R, Yokoyama M, Sato H. Rupture of anterior communicating artery aneurysm during transsphenoidal surgery for pituitary adenoma. Surg Neurol. 1983;20(1):67‐70. - PubMed
    1. Stefini R, Ghitti F, Bergomi R, et al. Uncommon presentation of ruptured intracranial aneurysm during surgical evacuation of chronic subdural hematoma: case report. Surg Neurol. 2008;69(1):89‐92. - PubMed
    1. Mattavelli D, Lombardi D, Ferrari M, Nicolai P. Complications of endoscopic DCR. In: Presutti L, Mattioli F, eds. Endoscopic Surgery of the Lacrimal Drainage System. Springer International Publishing; 2016:91‐99.
    1. Fountas KN, Kapsalaki EZ, Machinis T, Karampelas I, Smisson HF, Robinson JS. Review of the literature regarding the relationship of rebleeding and external ventricular drainage in patients with subarachnoid hemorrhage of aneurysmal origin. Neurosurg Rev. 2006;29(1):14‐18. discussion 9–20. - PubMed

Publication types

LinkOut - more resources