THE UNRUPTURED EXTRADURAL INTRACAVERNOUS CAROTID ANEURYSM

Authors

  • Nitat KIATHIRANON Department of Neuroradiology, Prasat Neurologic Institute
  • Rattana KHUNTIRANON Department of Neuroradiology, Prasat Neurologic Institute
  • Upin SANGKUM Department of Neuromedicine, Prasat Neurologic Institute
  • Anusak LIANGUDOM Department of Neurosurgery, Prasat Neurologic Institute
  • Patchrin PEKANAN Department of Radiology, Ramathibodi Hospital

Abstract

Extradural intracavernous aneurysm of the internal carotid artery was demonstrated in a 48-year old woman who presented with right exophthalmos and total opthalmoplegia. The aneurysm was an unruptured one. Coronal CT scan showed a target sign in the bulging right cavernous sinus. Reports concerning the CT findings of such aneurysm were rare.

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References

Allcock JM. Aneurysms. In:Newton TH, Potts DG., ed Radiology of the skull and brain, St. Louis: CV Mosby, 1974;2451.

Barr HWK, Blackwood W. Meadows SP. Intracavernous carotid aneurysms, a clinical pathological report. Brain 1971;94:607-622.

Lombardi G, Passerini A, Migliavacca F. Intracavernous aneurysms of the internal carotid artery. Am J Roentgenol Radium Ther Nucl Med 1963;89:361-371.

Noterman J, Warszaeski M, Jeanmart L, Brihaye J. Bilateral aneurysm of the internal carotid artery in the cavernous sinus: case report. Neuroradiology 1972;4:63-65.

Linsky ME, Sekhar LN, Horton JA, Hirsch WL, Yonas H. Aneurysms of the intracavernous carotid artery: a multidisciplinary approach to treatment. J Neurosurg 1991;75:525-534.

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.

Hoddes JE, Fletecher WA, Goodman DF, Hoyt WF. Rupture of cavernous carotid artery aneurysm causing subdural hematoma and death. Case report. J Neurosurg 1988;69:617-9.

Pendl G, Vorkapic P, Richling B, Koos WT. Strategies in intracavernous saccular aneurysms. In:Dolenc VV, ed. The cavernous sinus. A multidisciplinary approach to vascular and tumorous lesions. Wien, New York: Springer, 1987:240-51.

Scialfa C, Vaghi A, Valsccchi F, Nernardi L, Tonon C. Neuroradiological treatment of carotid and vertebral fistulas and intracavernous aneurysms. Neuroradiology 1982;24:13-25.

Ando T, Nakashima T, Shimiqu K, Sakai N, Yamada H. Clinical analysis of large or giant intracavernous aneurysms with reference to long-term results (in Japanese.) Jpn J Stroke 1990;12:185-94.

Berenstein A, Ransohoff J, Kupersmith M. Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries: functional investigation and embolization. Surg Neurol 1984;21:3-12.

Jefferson G. On the saccular aneurysms of the internal carotid artery in the cavernous sinus. Br J Surg 1938;26:267-302.

Linsky ME, Sekhar LN, Hirsch W Jr, Yonas H, Horton JA. Aneurysms of the intracavernous carotid artery:clinical presentation, radiographic features, and pathogenesis. Neurosurgery 1990;26:71-9.

Morley TP, Barr HWK. Giant intracranial aneurysms: diagnosis, course, and management. Clin Neurosurg 1969;16:73-94.

Whittle IR, Dorsch NW, Besser M. Giant intracranial aneurysms: diagnosis, management, and outcome. Surg Neurol 1984;21:218-30.

Jha AN, Lye RH. Aneurysms of the intracavernous internal carotid artery, outcome following carotid ligation or conservative treatment. In: Proceedings of the international symposium on the cavernous sinus. Ljubjana, Yugoslavia, 1986:413.

Dolenc VV, Cerk M, Sustersic J, Pregelj R, Skrap M. Treatment of intracavernous aneurysms of the ICA and CCFS by direct approach. In: Dolenc VV, cd. The cavernous sinus. A multidisciplinary approach to vascular and tumorous lesions. Wien, New York: Springer, 1987:297-310.

Obrador S, Gomez-Bueno J, Silvela J. Spontaneous carotid-cavernous fistula produced by ruptured aneurysm of the meningohypophyseal branch of the internal carotid artery. Case report. J Neurosurg 1974;40:539-43.

Punt J. Some observations on aneurysms of the proximal internal carotid artery. J Neurosurg 1979;51:151-154.

Dilenge D. Feon M: the internal carotid artery, in Newton TH, Potts DG (eds): Radiology of the skull and Brain, Volume II, Book 2. St. Louis: CV Mosby, 1974; pp 1202-1245.

Hayreh SS. Arteries of the orbit in the human being. Br J Surg 1963;50:938-953.

Hayreh SS, Dass R: The ophthalmic artery. I Origin and intra-cranial and intra-canalicular course. Br J Ophthalmol 1962;46:65-98.

Renn WH, Rhoton AL Jr. Microsurgical anatomy of the sellar region. J Neruosurg 1975;43:288-298.

Gelber BR, Sundt TM Jr. Treatment of intracavernous and giant carotid aneurysms by combined internal carotid ligation and extra to intracranial bypass. J Neurosurg 1980;52:1-10.

Little JR, Rosenfield JV, Awad IA. Internal carotid artery occlusion for cavernous segment aneurysm. Neurosurgery 1989;25:398-404.

Silvani V, Rainoldi F, Gaetani P, et al. Combined STA/MCA arterial bypass and gradual internal carotid artery occlusion for treatment of intracavernous and giant carotid artery aneurysms. Acta Neurochiur 1985;78:142-147.

Parkinson D. Surgical approach to cavernous sinus aneurysms, in Pia HW, Langmaid C, Zierski I (eds): Cerebral aneurysms. Advances in diagnosis and therapy. Berlin: Springer-Verlag 1979;pp 224-228.

Berenstein A, Ransohoff J, Kupersmith M, et al. Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries. Functional investigation and embolization. Surg Neurol 1984;21:3-12.

Fox AJ, Vinela F, pelz DM, et al, Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 1987;66:40-46.

Higashida RT, Halbach VV, Dowd C, et al. Endovascular detachable balloon embolization therapy of cavernous carotid artery aneurysms: results in 87 cases. J Neurosurg 1990;72:857-863.

Diaz FG, Ohaegbulam S, Dujovny M, et al. Surgical alternatives in the treatment of cavernous sinus aneurysms. J Neurosurg 1989;71:846-853.

Dolenc V. Direct microsurgical repair of intracavernous vascular lesion. J neurosurg 1983;58:824-831.

Dolenc V. Surgery of vascular lesions of the cavernous sinus. Clin Neurosurg 1988;36:240-255.

Perneczky A, Knosp E, Vorkapic P, et al. Direct surgical approach to infraclinoid aneurysm. Acta Neurochir 1985;76:36-44.

Strother Cm, Lunde S, Graves V, et al. Late paraophthalmic aneurysm rupture following endovascular treatment. Case report. J Neurosurg 1989;71:777-780.

Sekhar LN, Linskey ME, Sen CN, et al. Surgical management of lesions within the cavernous sinus. Clin Neurosurg 1991;37:440-489.

Diaz FG, Ohaegbulam S, Dujovny M, et al. Surgical alternatives in the treatment of cavernous sinus aneurysms. J Neurosurg 1989;71:846-853.

Sekhar LN, Sen CN, Jho HD. Saphenous vein graft bypass of the cavernous internal carotid artery. J Neurosurg 1990;35-41.

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Published

2023-04-03

How to Cite

1.
KIATHIRANON N, KHUNTIRANON R, SANGKUM U, LIANGUDOM A, PEKANAN P. THE UNRUPTURED EXTRADURAL INTRACAVERNOUS CAROTID ANEURYSM. ASEAN J Radiol [Internet]. 2023 Apr. 3 [cited 2025 Jan. 31];2(2):23-8. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/305

Issue

Vol. 2 No. 2 (1996): May-August

Section

Original Article

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