A Case of Intracavernous Giant Carotid Aneurysm.

Shin, Won Han; Byun, Bark Jang; Lee, In Soo

Original Article

Journal of Korean Neurosurgical Society 1980;9(1): 241-250.

Won Han Shin, Bark Jang Byun, In Soo Lee

Department of Neurosurgery, Soon Chun Hyang Medical College, Seoul, Korea.

ABSTRACT

A 57 year-old female with severe right facial pain and ptosis, and diplopia had been treated. Neurologic signs showed marked loss of vision, total ophthalmoplegia of the right eye and paresthesia on the 1st division of the right trigeminal nerve. Simple skull X-ray revealed enlarged sella turcica, thining of dorsum sellae, excavation and sharpening of anterior clinoid process with depressed sella floow on the right side. Right carotid angiogram showed a giant aneurysm in the cavernous portion of the internal carotid artery with parital filling of the contrast dye along proximal portion of the internal carotid artery and considerable collateral circulation through the external carotid-ophthalmic artery route. The aneurysm was managed by the internal carotid ligation initially, and 20 days later, followed by thrombectomy and aneurysmorrhaphy successfully. Two months later of the operation, all neurological deficits were completely recovered.