Cavernous Sinus Syndrome in a Polio-Afflicted Patient With Multiple Aneurysms

Area of Science:

• Neurology
• Vascular Neurosurgery

Background:

• Cavernous sinus syndrome (CSS) is a complex condition characterized by symptoms like ptosis, double vision, and headache.
• Typical CSS cases are often associated with tumors, making non-tumor etiologies less common but critical to identify.

Observation:

• A 65-year-old woman presented with severe left-eye pain, ptosis, double vision, vomiting, and headache.
• Imaging revealed a carotid-cavernous fistula (CCF), multiple internal carotid artery aneurysms, and a pericallosal aneurysm, with no evidence of a tumor.

Findings:

• The patient underwent diagnostic imaging, cerebral angiography, and successful embolization procedures for the complex vascular abnormalities.
• The treatment successfully managed the symptoms associated with CSS, the CCF, and multiple aneurysms.

Implications:

• This case highlights the importance of considering diverse etiologies in CSS, particularly complex vascular lesions.
• Successful management underscores the efficacy of modern endovascular techniques in treating intricate neurovascular conditions.
• The case contributes valuable insights into the personalized treatment of rare CSS presentations involving multiple aneurysms and fistulas.