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Updated: Dec 18, 2025

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Cavernous Thrombophlebitis Secondary to Cavernous Internal Carotid Mycotic Aneurysm
Devin J Burke1, Ashutosh Jadhav1,2
1Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Abstract:
We report a case of a 22-year-old male with a history of intravenous drug use presenting with cavernous sinus syndrome secondary to cavernous thrombophlebitis. The source of the thrombophlebitis was from a mycotic aneurysm in the setting of fungal endocarditis. With antifungal therapy and aortic valve replacement, the patient had full resolution of cranial nerve deficits. Descriptions of mycotic aneurysms of the cavernous portion of the internal carotid artery are limited to case reports and case series. Most have been nonendocarditic in etiology with poor prognosis. We present a unique case with endocarditic etiology and an excellent prognosis.
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