Document Detail

The benign course of cavernous carotid artery aneurysms.
MedLine Citation:
PMID:  1403108     Owner:  NLM     Status:  MEDLINE    
Recently, the benign nature of aneurysms of the cavernous carotid artery has been questioned. In a review of cases evaluated from 1980 to 1990 with this developmental aneurysm, the authors found 70 patients with 79 cavernous carotid artery aneurysms. As expected, the great majority (59 patients) had ophthalmoplegia as the initial problem. Retro-orbital pain (three cases) and a carotid-cavernous fistula (five cases) were infrequently the sole manifestation. Mirror-image asymptomatic aneurysms were found in nine patients and asymptomatic cavernous aneurysms were found in three additional patients. Thirty-four patients not surgically treated were followed for a mean of 2.8 years, and 36 surgical patients were followed for a mean of 4.1 years prior to treatment. Of the 79 aneurysms, one (1.3%) ruptured into the subarachnoid space during this period. Other than optic neuropathy or cranial neuropathy, no patient had a permanent neurological deficit; the 12 asymptomatic aneurysms remained asymptomatic. It is concluded that an aneurysm of the cavernous carotid artery is rarely associated with life-threatening complications, and treatment should be considered principally for patients with intolerable pain or problems related to vision.
M J Kupersmith; R Hurst; A Berenstein; I S Choi; J Jafar; J Ransohoff
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  77     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1992-11-06     Completed Date:  1992-11-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  690-3     Citation Subset:  AIM; IM    
Departments of Ophthalmology, Neurology, Neuroradiology, and Neurosurgery, New York University Medical Center, New York.
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MeSH Terms
Aneurysm / physiopathology*,  therapy
Carotid Artery Diseases / physiopathology*,  therapy
Carotid Artery, Internal
Middle Aged
Ophthalmoplegia / etiology
Subarachnoid Hemorrhage / etiology
Comment In:
J Neurosurg. 1993 Jun;78(6):1008-9   [PMID:  8338538 ]

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