Cavernous Carotid Artery Giant Aneurysm: Case Report and Literature Review
Arq. bras. neurocir; 37 (3), 2018
Publication year: 2018
The giant aneurysm of the cavernous internal carotid artery is an uncommon event. In
the case of giant aneurysmal formation, the patient presents with some signs or
symptoms, reported or observed on physical examination,which reveal a possiblemass
effect with neurovascular compression of the aneurysm, or even a subarachnoid
hemorrhage due to the rupture of the aneurysm. We report the case of a 69-year-old
patient who was admitted to the emergency department, referred by the basic health
unit (BHU) of her locality for neurosurgical evaluation after suffering a mild traumatic
brain injury (TBI). The patient, who was asymptomatic, carried with her a tomographic
computerized examination of the skull, performed one day after the incident,
evidencing left nodular parasellar lesion involving the cavernous sinus, discovered at
random. After more specific clinical, laboratory and imaging exams, she was diagnosed
with a giant aneurysm of the cavernous segment of the left internal carotid artery
(LICA) and was submitted to endovascular embolization for correction.
Aneurisma Intracraneal/terapia, Embolización Terapéutica, Arteria Carótida Interna, Lesiones Traumáticas del Encéfalo/complicaciones, Imagen por Resonancia Magnética, Angiografía Cerebral, Seno Cavernoso/diagnóstico por imagen, Arteria Carótida Interna/diagnóstico por imagen, Aneurisma Intracraneal/etiología, Aneurisma Intracraneal/diagnóstico por imagen