["Mirror" intracavernous aneurysms. Therapeutic dilemma apropos of a case with review of the literature].
"Mirror" cavernous aneurysms are exceptional; only 66 such cases having been published until mid-1996. We report on a 68-year-old woman who presented for left exophthalmos, diplopia and neuralgia. MR and angiography demonstrated a giant symptomatic aneurysm on the left side and an incidental small one on the right side. The patient was treated in two sessions: first, she had selective embolization of her right aneurysm; two weeks later, her left carotid artery was sacrificed with detachable balloons, after a well-tolerated occlusion test. This original and successful approach permitted to achieve a reasonable goal when considering the patient's age, operative morbidity, risk of future complications and final result. A review of the pathophysiology, clinical manifestations and therapeutic indications is presented and discussed.
Service d'Imagerie et de Thérapeutique Endo-Luminale, Hôpital du Sacré-Caeur, Beyrouth, Liban.
S
S
Slaba
T
T
Smayra
G
G
Mohasseb
G
G
Chédid
N
N
Aoun
S
S
Haddad
N
N
Okaïs
N
N
Atallah
D000368:Aged; D002426:Cavernous Sinus / Q000473:pathology*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D018810:Magnetic Resonance Angiography