Giant cavernous carotid aneurysm with spontaneous ipsilateral ICA occlusion: Report of 2 cases and review of literature

Savitr BV Sastri; Nishanth Sadasiva; Paritosh Pandey

doi:10.4103/0976-3147.116439

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Case Report

4 (

Supp 1

); S113-S116

doi:

10.4103/0976-3147.116439

Giant cavernous carotid aneurysm with spontaneous ipsilateral ICA occlusion: Report of 2 cases and review of literature

Savitr BV Sastri, Nishanth Sadasiva, Paritosh Pandey

Department of Neurosurgery, NIMHANS, Bangalore, India

Address for correspondence: Dr. Paritosh Pandey Department of Neurosurgery, NIMHANS Hosur Road, Bangalore - 560 029 India paritosh2000@gmail.com

Journal of Neurosciences in Rural Practice

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This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.

Abstract

ABSTRACT

Giant aneurysms of the cavernous carotid artery are rare entities which present predominantly with features of compression of the adjacent neural structures, most commonly the III, IV, VI and V cranial nerves. Historically, treatment options included occlusion of the feeding vessel, direct surgery on the aneurysm, bypass procedures and in recent times, the use of endovascular devices. While intramural thrombus formation is commonly seen in giant aneurysms, we present 2 cases of giant cavernous aneurysms which on evaluation were found to have spontaneous occlusion of the feeding internal carotid artery secondary to thrombus formation, and review the available literature regarding the same.

Keywords

Balloon test occlusion

cavernous carotid artery

giant aneurysm

spontaneous occlusion

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Conflict of Interest

None declared

References

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Inagawa T, . Follow-up study of unruptured aneurysms arising from the C3 and C4 segments of the internal carotid artery. Surg Neurol. 1991;36:99-105.
[Google Scholar]
Linskey M. E., Sekhar L. N., Hirsch W. L. Jr, Yonas H, Horton J. A., . Aneurysms of the intracavernous carotid artery: Natural history and indications for treatment. Neurosurgery. 1990;26:933-8.
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Dehdashti A. R., de Tribolet N, . Giant intracavernous aneurysm thrombosis by spontaneous carotid occlusion. Cerebrovasc Dis. 2003;15:301-2.
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Vasconcellos L. P., Flores J. A., Conti M. L., Veiga J. C., Lancellotti C. L., . Spontaneous thrombosis of internal carotid artery: A natural history of giant carotid cavernous aneurysms. Arq Neuropsiquiatr. 2009;67:278-83.
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[1] Mikabe T, Ogihara R, Tomita S, Kin H, Karasawa H, Watanabe S, et al . [Giant intracranial aneurysm visualized by prolonged injection angiography: Case report (author’s transl)] No Shinkei Geka. 1980;8:749-53.
[Google Scholar]

[2] Hahn C. D., Nicolle D. A., Lownie S. P., Drake C. G., . Giant cavernous carotid aneurysms: Clinical presentation in fifty-seven cases. J Neuroophthalmol. 2000;20:253-8.
[Google Scholar]

[3] Silva M. N., Saeki N, Hirai S, Yamaura A, . Unusual cranial nerve palsy caused by cavernous sinus aneurysms. Clinical and anatomical considerations reviewed. Surg Neurol. 1999;52:143-8. discussion 8-9
[Google Scholar]

[4] Whittle I. R., Williams D. B., Halmagyi G. M., Besser M, . Spontaneous thrombosis of a giant intracranial aneurysm and ipsilateral internal carotid artery. Case report. J Neurosurg. 1982;56:287-9.
[Google Scholar]

[5] Tsutsumi M, Kazekawa K, Tanaka A, Ueno Y, Nomoto Y, . Spontaneous thrombosis of a giant intracavernous internal carotid artery aneurysm and ipsilateral internal carotid artery occlusion. Radiat Med. 2002;20:261-3.
[Google Scholar]

[6] Sato K, Fujiwara S, Yoshimoto T, Onuma T, . Two cases of spontaneous internal carotid artery occlusion due to giant intracranial carotid artery aneurysm. Stroke. 1990;21:1506-9.
[Google Scholar]

[7] Perrini P, Bortolotti C, Wang H, Fraser K, Lanzino G, . Thrombosed giant intracavernous aneurysm with subsequent spontaneous ipsilateral carotid artery occlusion. Acta Neurochir (Wien). 2005;147:215-7.
[Google Scholar]

[8] Kurokawa R, Kuroshima Y, Yoshida K, Kawase T, . Spontaneous thrombosis of intracavernous internal carotid artery aneurysm and parent artery occlusion in patients with positive balloon test occlusion: Two case reports. Neurol Med Chir (Tokyo). 2001;41:436-41.
[Google Scholar]

[9] Eddleman C. S., Hurley M. C., Bendok B. R., Batjer H. H., . Cavernous carotid aneurysms: To treat or not to treat? Neurosurg Focus. 2009;26:E4.
[Google Scholar]

[10] Inagawa T, . Follow-up study of unruptured aneurysms arising from the C3 and C4 segments of the internal carotid artery. Surg Neurol. 1991;36:99-105.
[Google Scholar]

[11] Linskey M. E., Sekhar L. N., Hirsch W. L. Jr, Yonas H, Horton J. A., . Aneurysms of the intracavernous carotid artery: Natural history and indications for treatment. Neurosurgery. 1990;26:933-8.
[Google Scholar]

[12] Kupersmith M. J., Hurst R, Berenstein A, Choi I. S., Jafar J, Ransohoff J, . The benign course of cavernous carotid artery aneurysms. J Neurosurg. 1992;77:690-3.
[Google Scholar]

[13] Gautier J. C., Awada A, Majdalani A, . Ophthalmoplegia with contralateral hemiplegia. Occlusion of the internal carotid artery due to thrombosis of an intracavernous aneurysm. Stroke. 1986;17:1321-2.
[Google Scholar]

[14] Dehdashti A. R., de Tribolet N, . Giant intracavernous aneurysm thrombosis by spontaneous carotid occlusion. Cerebrovasc Dis. 2003;15:301-2.
[Google Scholar]

[15] Vasconcellos L. P., Flores J. A., Conti M. L., Veiga J. C., Lancellotti C. L., . Spontaneous thrombosis of internal carotid artery: A natural history of giant carotid cavernous aneurysms. Arq Neuropsiquiatr. 2009;67:278-83.
[Google Scholar]

Giant cavernous carotid aneurysm with spontaneous ipsilateral ICA occlusion: Report of 2 cases and review of literature

Abstract

ABSTRACT

Keywords

Balloon test occlusion

cavernous carotid artery

giant aneurysm

spontaneous occlusion

Conflict of Interest

References

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