Bilateral intracavernous carotid aneurysms: treatment by bilateral carotid ligation

Bilateral carotid ligation was performed successfully in a patient who had bilateral aneurysms of the intracavernous portion of the carotid artery. The left common carotid artery was ligated for treatment of an intracavernous aneurysm. Three years later, as the patient developed signs of a contralateral cavernous sinus aneurysm, the right carotid artery was partially occluded. Except for a slight right ptosis and a limitation of vertical gaze, the neurological signs subsided completely.