Many cases of disease of the intracranial blood vessels have erroneously been reported as cases of orbital aneurysm or aneurysm of the ophthalmic artery, and several cases have been cited under these titles in the literature with no definite reports to verify the occurrence of the condition. Axenfeld in his textbook1 merely mentioned the occurrence of "that extremely infrequent affection" circoid aneurysm of the ophthalmic artery. In de Schweinitz' textbook2 it is stated that pulsating exophthalmos was formerly regarded as evidence of true aneurysm of the ophthalmic artery, an assumption probably based on the observation of Guthrie,3 who early in the nineteenth century demonstrated at autopsy the presence of an ophthalmic aneurysm which had been associated with pulsating exophthalmos.
De Schweinitz and Holloway4 in their well known brochure on pulsating exophthalmos summarized 44 cases of this disease which had been reported in the literature
PFINGST AO. ANOMALOUS OPHTHALMIC ARTERY WITH OCULAR SYMPTOMS. Arch Ophthalmol. 1936;16(5):829–838. doi:10.1001/archopht.1936.00840230109008
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