Document Detail


The benign course of cavernous carotid artery aneurysms.
MedLine Citation:
PMID:  1403108     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M J Kupersmith; R Hurst; A Berenstein; I S Choi; J Jafar; J Ransohoff
Related Documents :
1403108 - The benign course of cavernous carotid artery aneurysms.
19408998 - Unruptured intracranial aneurysms and the assessment of rupture risk based on anatomica...
1362258 - Fenestration of the middle cerebral artery and aneurysm at the site of the fenestration.
9236988 - Ruptured visceral artery aneurysms.
16362228 - A common hepatic artery passing in front of the portal vein.
24050378 - Heparin does not seem to improve the function of pulmonary grafts for lung transplantat...
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    
Affiliation:
Departments of Ophthalmology, Neurology, Neuroradiology, and Neurosurgery, New York University Medical Center, New York.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / physiopathology*,  therapy
Carotid Artery Diseases / physiopathology*,  therapy
Carotid Artery, Internal
Female
Humans
Male
Middle Aged
Ophthalmoplegia / etiology
Subarachnoid Hemorrhage / etiology
Comments/Corrections
Comment In:
J Neurosurg. 1993 Jun;78(6):1008-9   [PMID:  8338538 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Late course of preserved hearing and tinnitus after acoustic neurilemoma surgery.
Next Document:  Cell-mediated immunity in severely head-injured patients: the role of suppressor lymphocytes and ser...