[Giant aneurysm of the intracavernous internal carotid artery associated with autosomal dominant polycystic kidney disease: case report].
We report the case of a 60-year-old woman with autosomal dominant polycystic kidney disease (ADPKD) that presented with headache and right complete ophthalmoplegia. The CT scan raised the possibility of a giant aneurysm of the right intracavernous internal carotid artery, confirmed by angiography. The patient underwent endovascular occlusion of parent vessel with detachable coils, then she presented interruption of headache and partial recovery of ptosis and ophthalmoplegia. We emphasize the relationship between ADPKD and intracranial aneurysms. We also discuss the natural history and compare the therapeutic options for the management of giant aneurysms of the cavernous portion of the carotid artery.
Ponte
Keven F
KF
Faculdade de Medicina, Universidade Federal do Ceará, Sobral, CE, Brasil.
Mont'Alverne
Francisco J A
FJ
Ribeiro
Espártaco M L
EM
Pinto
Paulo V B
PV
Cristino Filho
Gerardo
G
Martins Neto
João
J
Salles
Luiz D
LD
D021721:Balloon Occlusion; D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications*