CAROTID CAVERNOUS ANEURYSMS–A REPORT OF TWO CASES WITH REVIEW OF LITERATURE

Dr.C.Sreenivasulu; Dr.M.Ramanjuyulu; Dr.G. Shaul Hameed; Dr. T.Vinil

Volume : V, Issue : V, May - 2015

CAROTID CAVERNOUS ANEURYSMS–A REPORT OF TWO CASES WITH REVIEW OF LITERATURE

Dr. C. Sreenivasulu, Dr. M. Ramanjuyulu, Dr. G. Shaul Hameed, Dr. T. Vinil

Abstract :

Incidence of internal carotid aneurysms in cavernous segment represent only 3–.5% of all intracranial aneyrysms and 15% of those originated in internal carotid artery. Most commonly seen in females at age group of 5th and 6th decades. Most commonly present as ophthalmoplegia. Management is medical most of the time as defined by Linskey et all . We report two cases of internal carotid artery aneurysm presenting as painful external ophthalmoplegia. In the first case,a 50 years female presented with ptosis of left eyelid with pain in left forehead and back of head on left side with diminshed vision in left eye for 6 months. Examination revealed complete ptosis on left side with loss of pupillary reflexes and restriction of all ocular movements with ,diminshed sensation on left side of face in maxillary division of trigeminal nerve. MRI ain with orbit revealed large saccular aneurysm arising from internal carotid artery . CT Brain angiogram showed giant aneurysm from cavernous segment of left carotid artery. In case two a 65years female presented with history of ptosis with intermittent periorbital pain on right side. Examination showed complete ptosis of right side with loss of pupillary reflexes and restricted ocular movements. MRI ain revealed saccular aneurysm arising from internal carotid artery . CT ain –Angiogram revealed saccular aneurysm arising from cavernous part of internal carotid artery.