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Mycotic aneurysms of the internal carotid artery. Case report
Journal of Neurosurgery
|January 1, 1976
Abstract:
The authors report a case with two mycotic aneurysms in the cavernous portion of the internal carotid artery, presumably secondary to a transient bacteremia from pneumonia. The strikingly rapid development of the aneurysms was demonstrated by angiography. Painful total ophthalmoplegia and extophthalmos were the main clinical features.
Insights
This case study highlights two rapidly developing mycotic aneurysms in the internal carotid artery, likely caused by pneumonia-related bacteremia. Clinical symptoms included painful ophthalmoplegia and extophthalmos.
Area of Science:
- Vascular Surgery
- Neurology
- Infectious Diseases
Background:
- Mycotic aneurysms are rare vascular infections, often associated with embolism or contiguous spread.
- Internal carotid artery aneurysms, particularly in the cavernous segment, pose significant diagnostic and therapeutic challenges.
Observation:
- A patient presented with two rapidly growing mycotic aneurysms in the cavernous internal carotid artery.
- The aneurysms were presumed secondary to transient bacteremia originating from pneumonia.
Findings:
- Angiography confirmed the rapid development and location of the mycotic aneurysms.
- Clinical presentation was dominated by painful total ophthalmoplegia and exophthalmos.
Implications:
- This case underscores the importance of considering mycotic aneurysms in patients with sepsis and cranial nerve deficits.
- Prompt diagnosis and management are crucial to prevent catastrophic complications such as rupture or stroke.