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Computed Tomography Angiography of Bilateral Intracavernous Internal Carotid Artery Aneurysms

Ayman G Elnahry1, Gehad A Elnahry1

  • 1Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Neuro-Ophthalmology (Aeolus Press)
|December 8, 2018
PubMed

Insights

Bilateral intracavernous internal carotid artery aneurysms are rare, particularly in women. Computed tomography angiography revealed these aneurysms in an 81-year-old hypertensive female presenting with cranial nerve palsies.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Radiology

Background:

  • Bilateral intracavernous internal carotid artery aneurysms are uncommon vascular lesions.
  • These aneurysms are more prevalent in elderly females and often linked to hypertension.
  • Cranial nerve palsies can be a presenting symptom of these aneurysms.

Purpose of the Study:

  • To report the computed tomography angiography findings in a case of bilateral intracavernous internal carotid artery aneurysms.
  • To highlight the association between these aneurysms and neurological deficits.

Main Methods:

  • A case study of an 81-year-old female patient.
  • Clinical examination including assessment of ocular motor function.
  • Computed tomography angiography (CTA) for vascular imaging.

Main Results:

  • The patient presented with headache, diplopia, and bilateral sixth nerve palsy with left third nerve palsy.
  • CTA confirmed the presence of bilateral intracavernous internal carotid artery aneurysms.
  • External ocular examination findings were unremarkable.

Conclusions:

  • Bilateral intracavernous internal carotid artery aneurysms can manifest with significant neurological symptoms, including multiple cranial nerve palsies.
  • CTA is an effective imaging modality for diagnosing these rare aneurysms.
  • Prompt neurosurgical consultation is essential for appropriate management of such cases.

Keywords:
Bilateral intracavernous internal carotid artery aneurysmscomputed tomography angiographycranial nerve palsy

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