Intracavernous carotid artery aneurysm is rare but it leads to major complications. Common clinical picture is characterized by ophthalmoplegia associated with intense headaches. Cerebral angiography is used to confirm clinical suspicion and it guides therapeutic management. Endovascular embolization is the standard treatment. We here report the case of a 80-year-old woman presenting to the emergency room with right-sided exophthalmos and severe headaches occurring 2 weeks before her visit. The diagnosis of fissurized intracavernous carotid artery aneurysm was retained.
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http://dx.doi.org/10.11604/pamj.2021.39.196.30577 | DOI Listing |
Cureus
December 2024
Department of Ophthalmology, Hospital University Kebangsaan Malaysia, Kuala Lumpur, MYS.
We report a rare case of a missed intracavernous internal carotid artery dissecting aneurysm occurring as a complication of the base of skull fracture with severe brain injury causing acute cavernous sinus syndrome with permanent vision loss. A 31-year-old Myanmar lady had an alleged motor vehicle accident and suffered severe traumatic brain injury with multiple intracranial bleeds, multiple facial bone and base of skull fractures, and limb fractures. At one week post-trauma, she had severe right eye proptosis with vision loss, ophthalmoplegia, chemosis, and high intraocular pressure.
View Article and Find Full Text PDFMaedica (Bucur)
September 2024
Professor, 1st Academic ORL Department, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Introduction: Tolosa-Hunt syndrome (THS) is a disorder related to inflammation of cavernous sinus and superior orbital fissure that usually presents with ophthalmoplegia and oculomotor nerve palsies. The etiology of the syndrome is unknown and the diagnosis is set by exclusion of other clinical conditions that manifest in a similar way. Intracranial aneurysms, such as intracavernous ones, should be included in the differential diagnosis as they can compress cranial nerves leading to similar clinical presentation.
View Article and Find Full Text PDFBMC Neurol
November 2024
Department of Neurosurgical Oncology, First Hospital of Jilin University, Changchun, Jilin Province, China.
Background: Primary skull base chondrosarcoma (SBC) is a rare malignant central nervous system tumor, often involving the cavernous sinus. Complete excision of tumors invading this region is exceptionally challenging due to the presence of the internal carotid artery and numerous nerves within the cavernous sinus, particularly in cases with substantial tumor volume.
Case Presentation: This report describes a rare case of a massive primary SBC pushing the lateral wall of the cavernous sinus, measuring approximately 6.
J Clin Neurosci
November 2024
Jawaharlal Institute of Postgraduate Medical Education & Research, Dhanvantari Nagar, Puducherry 605006, India.
Introduction: Tolosa-Hunt Syndrome (THS) stands as a rare headache disorder distinguished by painful ophthalmoplegia, accompanied by headaches and cranial nerve palsies. The syndrome was initially identified by Eduardo Tolosa in Spain in 1954. He observed granulomatous inflammation surrounding a carotid siphon in a patient with an intracavernous carotid aneurysm.
View Article and Find Full Text PDFWorld J Mens Health
August 2024
Department of Urology, Peking University First Hospital, Beijing, China.
Purpose: To examine the role and mechanism of thrombospondin-1 (TSP1) in the development of fibrosis in diabetes mellitus-induced erectile dysfunction (DMED).
Materials And Methods: DMED was induced by intraperitoneal streptozotocin injection. All rats were categorized into three groups: control group (n=8), DMED group (n=8) and DMED+Leu-Ser-Lys-Leu (LSKL) group (n=8).
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