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

Abstract

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