Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature

Giant cavernous carotid aneurysms are rare pathologic entities that are typically benign and are considered less life-threatening due to the low risk of rupture of bleeding. They present with clinical features usually due to localized mass effects on adjacent neural structures, mainly the III, IV, V...

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Main Authors: Noor Badrawi, MBBS, Afra Alfalahi, MD, Asghar Mirza, MD, Ayman Al-Sibaie, MD
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323001590
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author Noor Badrawi, MBBS
Afra Alfalahi, MD
Asghar Mirza, MD
Ayman Al-Sibaie, MD
author_facet Noor Badrawi, MBBS
Afra Alfalahi, MD
Asghar Mirza, MD
Ayman Al-Sibaie, MD
author_sort Noor Badrawi, MBBS
collection DOAJ
description Giant cavernous carotid aneurysms are rare pathologic entities that are typically benign and are considered less life-threatening due to the low risk of rupture of bleeding. They present with clinical features usually due to localized mass effects on adjacent neural structures, mainly the III, IV, V, and VI cranial nerves. There are various treatment options, including occlusion of the feeding vessel, immediate surgery on the aneurysm, bypass procedures, and use of endovascular devices. We present a case of a 36-year-old male presented to the emergency department with 5 days history of right retro-orbital pain and diplopia. The patient's imaging workup revealed a right giant cavernous carotid aneurysm. Along with the conventional symptoms, physical examination revealed sinus bradycardia. Internal carotid artery occlusion was performed, and his symptoms gradually resolved.
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spelling doaj.art-f1c5784c61b64e22a7df3610cc6e19062023-04-07T06:49:35ZengElsevierRadiology Case Reports1930-04332023-06-0118620902095Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literatureNoor Badrawi, MBBS0Afra Alfalahi, MD1Asghar Mirza, MD2Ayman Al-Sibaie, MD3Corresponding author.; Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesRashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesRashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesRashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesGiant cavernous carotid aneurysms are rare pathologic entities that are typically benign and are considered less life-threatening due to the low risk of rupture of bleeding. They present with clinical features usually due to localized mass effects on adjacent neural structures, mainly the III, IV, V, and VI cranial nerves. There are various treatment options, including occlusion of the feeding vessel, immediate surgery on the aneurysm, bypass procedures, and use of endovascular devices. We present a case of a 36-year-old male presented to the emergency department with 5 days history of right retro-orbital pain and diplopia. The patient's imaging workup revealed a right giant cavernous carotid aneurysm. Along with the conventional symptoms, physical examination revealed sinus bradycardia. Internal carotid artery occlusion was performed, and his symptoms gradually resolved.http://www.sciencedirect.com/science/article/pii/S1930043323001590Giant carotid aneurysmGiant aneurysmsCavernous carotid aneurysm
spellingShingle Noor Badrawi, MBBS
Afra Alfalahi, MD
Asghar Mirza, MD
Ayman Al-Sibaie, MD
Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature
Radiology Case Reports
Giant carotid aneurysm
Giant aneurysms
Cavernous carotid aneurysm
title Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature
title_full Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature
title_fullStr Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature
title_full_unstemmed Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature
title_short Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature
title_sort giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia a case report and a review of literature
topic Giant carotid aneurysm
Giant aneurysms
Cavernous carotid aneurysm
url http://www.sciencedirect.com/science/article/pii/S1930043323001590
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