[Cavernous sinus aneurysms. Treatment and evolution].
METHODS
Two clinical cases of painful ophthalmoplegia from a cavernous sinus syndrome induced by carotid intracavernous aneurysm are presented. Two women presenting similar clinical patterns: total restriction of ocular movements, pthosis, alterations in the pupil and intense cephalalgia of sudden onset. Carotid aneurysms were found to be responsible for these clinical patterns. A carotid embolization was performed in one of the cases while a <<wait and see>> attitude was adopted for the other.


CONCLUSIONS
Both cases showed similar favorable evolution, after a follow up period of one year. We concluded that in these cases a close collaboration with other specialties is required in order to adopt the most adequate therapeutic option.
Pérez-Salvador García
E
E
Servicio de Oftalmología, Hospital Universitario de la Princesa, Madrid, España.
González Manrique
M
M
Pérez Alvarez
M J
MJ
D000368:Aged; D002426:Cavernous Sinus; D004621:Embolization, Therapeutic; D005094:Exophthalmos / Q000209:etiology; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000628:therapy; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D013577:Syndrome