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Peer-reviewedCC BY-NC-SASurgical neurology international

Iatrogenic pseudoaneurysm formation in the medial orbitofrontal artery following rhinoplasty and nasal osteotomy: A case report.

  • Mohammad Hasanpour1
  • Alireza Dastmalchi1
  • Feyz Ebrahimnia1
  • Ehsan Mohammad Hosseini2
  • Maryam Lashkarbolouk3
  • Alireza Noori4
  • Iran Chanideh5
  • Ehsan Keykhosravi6
6 affiliations
  1. 1Firoozgar Clinical Research Development Center, Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.
  2. 2Department of Neurosurgery, Shiraz University of Medical Sciences, Fars, Iran.
  3. 3Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran.
  4. 4National Brain Centre, Iran University of Medical Sciences, Tehran, Iran.
  5. 5Clinical Research and Development Center, Taleghani and Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  6. 6Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran.
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Abstract

Background

Intracranial vascular complications following rhinoplasty are exceptionally rare but may result in devastating neurological outcomes. We report a rare case of iatrogenic pseudoaneurysm of the medial orbitofrontal artery after rhinoplasty with nasal osteotomy.Case description

A 31-year-old man presented with postoperative intracerebral hemorrhage shortly after rhinoplasty. Digital subtraction angiography demonstrated a pseudoaneurysm arising from the medial orbitofrontal artery. The patient underwent microsurgical trapping and clipping of the pseudoaneurysm with simultaneous repair of an associated cribriform plate defect and cerebrospinal fluid leakage, resulting in complete exclusion of the lesion and an uneventful neurological recovery. Postoperatively, he recovered without neurological deficits and remained clinically stable during follow-up.Conclusion

Although extremely uncommon, intracranial pseudoaneurysm should be considered in patients who develop intracerebral hemorrhage after rhinoplasty. Prompt vascular imaging and timely neurosurgical intervention are essential to prevent potentially catastrophic complications and achieve favorable outcomes.

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Cite

BibTeXRIS
BibTeX
@article{hasanpour2026iatrogenic,
  title = {{Iatrogenic pseudoaneurysm formation in the medial orbitofrontal artery following rhinoplasty and nasal osteotomy: A case report.}},
  author = {Mohammad Hasanpour and Alireza Dastmalchi and Feyz Ebrahimnia and Ehsan Mohammad Hosseini and Maryam Lashkarbolouk and Alireza Noori and Iran Chanideh and Ehsan Keykhosravi},
  journal = {Surgical neurology international},
  year = {2026},
  month = oct,
  doi = {10.25259/sni_751_2026},
  url = {https://europepmc.org/article/MED/42974243},
  note = {CC BY-NC-SA},
}
RIS
TY  - JOUR
TI  - Iatrogenic pseudoaneurysm formation in the medial orbitofrontal artery following rhinoplasty and nasal osteotomy: A case report.
AU  - Mohammad Hasanpour
AU  - Alireza Dastmalchi
AU  - Feyz Ebrahimnia
AU  - Ehsan Mohammad Hosseini
AU  - Maryam Lashkarbolouk
AU  - Alireza Noori
AU  - Iran Chanideh
AU  - Ehsan Keykhosravi
PY  - 2026
DA  - 2026/10/16
JO  - Surgical neurology international
DO  - 10.25259/sni_751_2026
UR  - https://europepmc.org/article/MED/42974243
AB  - Background  Intracranial vascular complications following rhinoplasty are exceptionally rare but may result in devastating neurological outcomes. We report a rare case of iatrogenic pseudoaneurysm of the medial orbitofrontal artery after rhinoplasty with nasal osteotomy.Case description  A 31-year-old man presented with postoperative intracerebral hemorrhage shortly after rhinoplasty. Digital subtraction angiography demonstrated a pseudoaneurysm arising from the medial orbitofrontal artery. The patient underwent microsurgical trapping and clipping of the pseudoaneurysm with simultaneous repair of an associated cribriform plate defect and cerebrospinal fluid leakage, resulting in complete exclusion of the lesion and an uneventful neurological recovery. Postoperatively, he recovered without neurological deficits and remained clinically stable during follow-up.Conclusion  Although extremely uncommon, intracranial pseudoaneurysm should be considered in patients who develop intracerebral hemorrhage after rhinoplasty. Prompt vascular imaging and timely neurosurgical intervention are essential to prevent potentially catastrophic complications and achieve favorable outcomes.
SN  - 2229-5097
SN  - 2152-7806
ER  -