A singular case of cavernous internal carotid artery aneurysm in patient with cavernous sinus syndrome and bacterial meningitis.
We report the uncommon case of an acute cavernous sinus syndrome in a patient who was consequently discovered to have both a cavernous internal carotid artery aneurysm and bacterial meningitis. Which came first, the chicken or the egg? Which of the two, the aneurysm or the meningitis, gave rise to the patient's symptoms? We briefly reviewed the literature of similar cases and tried to analyze the possible pathophysiological relationship between these findings. Moreover, this case highlights the importance of a multidisciplinary management of these patients to better decide between a medical and a surgical and/or endovascular treatment.
Radiology Unit, Department of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.
Federico
F
Sacchetti
Radiology Unit, Department of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.
Silvia
S
Stagni
Neuroradiology Unit, Department of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Luca
L
Spinardi
Division of Infectious Diseases, Department of Internal Medicine, Aging, and Nephrologic Diseases, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Luigi
L
Raumer
Division of Infectious Diseases, Department of Internal Medicine, Aging, and Nephrologic Diseases, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Nicola
N
Dentale
Neuroradiology Department, IRCCS Institute of Neurological Sciences of Bologna, Bellaria Hospital, Bologna, Italy.
Luigi
L
Cirillo
Bacterial meningitis; Cavernous ICA aneurysm; Cavernous sinus syndrome; DSA; MRI