Thrombosed giant intracavernous aneurysm with subsequent spontaneous ipsilateral carotid artery occlusion.
We report a case of a 47-year-old man with a giant thrombosed aneurysm of the right cavernous internal carotid artery who initially presented with headache, double vision and trigeminal numbness. He experienced subsequent asymtomatic proximal occlusion of the parent vessel, revealed by follow-up angiography. This case illustrates the possibility that a giant thrombosed aneurysm may exert enough compression upon the parent vessel to induce flow stasis with resultant intraluminal thrombosis progressing to occlude the entire parent artery.
Perrini
P
P
Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Illinois 61637, USA.
Bortolotti
C
C
Wang
H
H
Fraser
K
K
Lanzino
G
G
D000925:Anticoagulants / Q000627:therapeutic use; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging* / Q000503:physiopathology; D002533:Cerebral Angiography; D004172:Diplopia / Q000209:etiology; D007839:Functional Laterality; D006261:Headache / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010292:Paresthesia / Q000209:etiology; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D016896:Treatment Outcome; D020433:Trigeminal Nerve Diseases / Q000209:etiology
D000925:Anticoagulants