Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusion
Background. Cavernous carotid aneurysms (CCA) are rare aneurysms with a relatively benign natural history. The association between CCA aneurysm and ipsilateral Internal carotid artery (ICA) thrombosis or occlusion has not been described previously. The management of patients with these dual lesions...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2023-03-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2446 |
| _version_ | 1797866952642789376 |
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| author | Sura H. Talib Mayur Sharma Vishan P. Ramanathan Yara Alfawares Muntadher H. Almufadhal Mustafa Ismail Samer S. Hoz |
| author_facet | Sura H. Talib Mayur Sharma Vishan P. Ramanathan Yara Alfawares Muntadher H. Almufadhal Mustafa Ismail Samer S. Hoz |
| author_sort | Sura H. Talib |
| collection | DOAJ |
| description |
Background. Cavernous carotid aneurysms (CCA) are rare aneurysms with a relatively benign natural history. The association between CCA aneurysm and ipsilateral Internal carotid artery (ICA) thrombosis or occlusion has not been described previously. The management of patients with these dual lesions is a challenging problem.
Case description. In this report, we describe an 18-year-old man who presented with left abducent nerve palsy of 3 weeks duration, and imaging revealed left CCA with left ICA occlusion. The patient was managed conservatively with clinical and imaging follow-up. The patient recovered well with complete resolution of clinical symptoms and disappearance of left CCA.
Conclusions. The association of giant CCA and ICA occlusion on the same side is a rare phenomenon with no current consensus on the appropriate follow-up and management strategy. In this report, we described the first case of spontaneous complete disappearance of a giant CCA in the setting of ipsilateral ICA occlusion with complete resolution of symptoms at nine months of follow-up.
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| first_indexed | 2024-04-09T23:32:31Z |
| format | Article |
| id | doaj.art-0afdd6824bd7439893f1d6eba50c3567 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-04-09T23:32:31Z |
| publishDate | 2023-03-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-0afdd6824bd7439893f1d6eba50c35672023-03-21T00:38:23ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592023-03-01371Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusionSura H. TalibMayur SharmaVishan P. RamanathanYara AlfawaresMuntadher H. AlmufadhalMustafa IsmailSamer S. Hoz Background. Cavernous carotid aneurysms (CCA) are rare aneurysms with a relatively benign natural history. The association between CCA aneurysm and ipsilateral Internal carotid artery (ICA) thrombosis or occlusion has not been described previously. The management of patients with these dual lesions is a challenging problem. Case description. In this report, we describe an 18-year-old man who presented with left abducent nerve palsy of 3 weeks duration, and imaging revealed left CCA with left ICA occlusion. The patient was managed conservatively with clinical and imaging follow-up. The patient recovered well with complete resolution of clinical symptoms and disappearance of left CCA. Conclusions. The association of giant CCA and ICA occlusion on the same side is a rare phenomenon with no current consensus on the appropriate follow-up and management strategy. In this report, we described the first case of spontaneous complete disappearance of a giant CCA in the setting of ipsilateral ICA occlusion with complete resolution of symptoms at nine months of follow-up. http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2446cavernous carotid aneurysminternal carotid arteryspontaneous resolution |
| spellingShingle | Sura H. Talib Mayur Sharma Vishan P. Ramanathan Yara Alfawares Muntadher H. Almufadhal Mustafa Ismail Samer S. Hoz Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusion Romanian Neurosurgery cavernous carotid aneurysm internal carotid artery spontaneous resolution |
| title | Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusion |
| title_full | Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusion |
| title_fullStr | Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusion |
| title_full_unstemmed | Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusion |
| title_short | Spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ICA occlusion |
| title_sort | spontaneous complete resolution of a giant cavernous carotid aneurysm in the setting of ipsilateral ica occlusion |
| topic | cavernous carotid aneurysm internal carotid artery spontaneous resolution |
| url | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2446 |
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