AI Article Synopsis
- Bilateral cavernous sinus internal carotid aneurysms are rare and require careful consideration for treatment timing, especially when both sides are affected.* -
- A 72-year-old woman presented with worsening vision due to these aneurysms and underwent a two-stage treatment process, starting with the left side.* -
- Although her left visual acuity did not improve, the second treatment on the right side resulted in some recovery of vision, highlighting the need for timely intervention.*
Article Abstract
Bilateral large cavernous sinus internal carotid aneurysms (CCAs) occur very rarely. While the choice of treatment method is important, the timing of contralateral side treatment is equally important. We herein report the case of a 72-year-old woman who presented with progressive bilateral visual impairment and was treated by two-stage. First, the left CCAs had been treated, and the aneurysm was thrombosed, but her left visual acuity did not recover; the right CCA was becoming larger 2 years later, and her right visual acuity began worsening. The right CCAs was treated by almost same method. Her right visual acuity improved compared with the second preoperative findings. Our case findings suggest the importance of considering the appropriate timing to avoid symptom aggravation in patients with bilateral CCAs.
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| http://dx.doi.org/10.1016/j.clineuro.2023.107758 | DOI Listing |
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