scholarly journals Bilateral Intracavernous Carotid Artery Aneurysms Presenting as Diplopia in a Young Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Nikolaos Kopsachilis ◽  
Maria Pefkianaki ◽  
Gianluca Carifi ◽  
Ioannis Lialias
Keyword(s):  
Carotid Artery ◽  
Young Patients ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Resonance Imaging ◽  
Intracavernous Carotid Artery ◽  
Life Threatening ◽  
Endovascular Coil Embolization ◽  
The Brain ◽  
Underlying Pathology

Introduction. Bilateral intracavernous carotid artery aneurysms (ICAAs) are extremely rare and difficult to treat.Case Report. A 26-year-old female presented in our clinic with acute diplopia due to oculomotor nerve palsy on the left side. Magnetic resonance imaging of the brain showed two heterogeneously enhanced masses indicating bilateral ICAA. An endovascular coil embolization was performed on the left side successfully, resulting in resolution of her symptoms.Conclusion. Thorough systemic evaluation in young patients with diplopia can reveal life-threatening underlying pathology and prevent major complications.

scholarly journals Isolated oculomotor nerve palsy inspontaneous internal carotid artery dissection: case report

2003 ◽  
Vol 61 (3A) ◽  
pp. 668-670 ◽  
Author(s):  
Cynthia Resende Campos ◽  
Ayrton Roberto Massaro ◽  
Milberto Scaff
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Nerve Palsy ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
The Third

Partial oculosympathetic palsy followed by ischemic manifestations in brain or retina are the main symptoms of extracranial internal carotid artery (ICA) dissection. Unusually, cranial nerves may be affected. Isolated oculomotor nerve palsy is found only rarely. CASE: We present a 50-year-old nondiabetic man who experienced acute onset of right occipital headache which spread to the right retro-orbital region. Five days later he noticed diplopia and right blurred vision sensation. Neurologic examination disclosed only impaired adduction and upward gaze of right eye, slight ipsilateral pupillary dilatation, without ptosis. Brain MRI was normal. Angiography showed right internal carotid artery dissection with forward occlusion to the base of the skull. Intravenous heparin followed by warfarin was prescribed. The headache and the oculomotor nerve deficit gradually resolved in the next three weeks. DISCUSSION: Isolated oculomotor nerve palsy is underrecognized as a clinical presentation of extracranial ICA dissection. If the angiographic evaluation is incomplete without careful study of extracranial arteries, misdiagnosis may lead to failure to initiate early treatment to prevent thromboembolic complications. For this reason we draw attention to the need for careful evaluation of cervical arteries in patients with oculomotor nerve palsy. Mechanical compression or stretching of the third nerve are possible mechanisms, but the direct impairment of the blood supply to the third nerve seems to be the most plausible explanation.

scholarly journals Brain abscess due to Aggregatibacter aphrophilus and Bacteroides uniformis

2015 ◽  
Vol 44 (2) ◽  
pp. 181
Author(s):  
Maja Bogdan ◽  
Vlasta Zujić Atalić ◽  
Ivan Hećimović ◽  
Dubravka Vuković
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Surgical Treatment ◽  
Brain Abscess ◽  
Neurological Deficit ◽  
Resonance Imaging ◽  
Aggregatibacter Aphrophilus ◽  
Threatening Condition ◽  
Life Threatening ◽  
The Brain

<p><strong>Objective</strong>. The aim of this report was to describe the occurrence of a bacterial brain abscess in a healthy individual, without any predisposing condition. <strong>Case report</strong>. A thirteen-year old boy was admitted to the Department of Neurosurgery after the onset of vomiting, headache and dizziness. A neurological deficit was detected during the physical examination so urgent magnetic resonance imaging of the brain was performed, revealing an intrahemispheric, right positioned solitary expansive mass with ring enhancement. Purulent material was obtained during osteoplastic craniotomy with total extirpation of the brain abscess. Aggregatibacter aphrophilus and Bacteroides uniformis were isolated. The patient’s general condition improved and the neurological deficit subsided as a result of the prompt recognition and treatment of this life threatening condition. <strong>Conclusion</strong>. To achieve a favourable clinical outcome, prompt recognition and surgical treatment of a brain abscess are of primary importance,followed by administration of appropriate antimicrobial therapy. To our best knowledge, this is the first report of this combination of microorganisms as the cause of a brain abscess.</p>

scholarly journals Surgical Treatment of Cavernous Sinus Cavernomas: Evidence from Vietnam

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 16
Author(s):  
Duc-Anh Nguyen ◽  
Hao The Nguyen ◽  
Thang Van Duong ◽  
Binh Hoa Pham ◽  
Hoang-Long Vo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Cavernous Sinus ◽  
Nerve Palsy ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Tumor Surgery ◽  
Resonance Imaging ◽  
Radical Removal

Cavernous sinus cavernomas, a rare vascular malformation, represents 3% of all benign cavernous sinus tumors. Both clinical and radiological signs are important for differentiating this condition from other cavernous sinus diseases. The best treatment is radical removal tumor surgery; however, due to the tumor being located in the cavernous sinus, there are many difficulties in the surgery. We report a case of a 35-year-old female who only presented sporadical headache. After serial magnetic resonance imaging acquisitions, a tumor measuring 30 mm in the left cavernous sinus and heterogenous enhencement was observed. Then, the patient underwent an operation with an extradural basal temporal approach. Postoperatively, the tumor was safely gross total removed. The patient developed left oculomotor nerve palsy but fully recovered after 3 months of acupunture treatment, and developed persistent left maxillofacial paresthesia. The surgical treatment for cavernous sinus cavernomas may be considered a best choice regarding safety and efficiency.

scholarly journals Superselective Intracerebral Catheterization of a Branch of the Internal Carotid Artery Coupled with Magnetic Resonance Imaging

2007 ◽  
Vol 13 (3) ◽  
pp. 277-280 ◽  
Author(s):  
J. Pryor ◽  
H. D'Arceuil ◽  
M. Phil ◽  
J. Liu ◽  
J. He ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Brain Region ◽  
Internal Carotid ◽  
Fluoroscopic Guidance ◽  
Resonance Imaging ◽  
Assessment And Treatment ◽  
The Brain

We used fluoroscopic guidance and over-the-wire techniques to superselectively place a microcatheter into a branch of the MCA of three macaques and MRI bolus tracking techniques to measure perfusion within the selected brain region. Such techniques are likely to be useful in the assessment and treatment of ischemic infarction, cerebral vasospasm, and monitoring local delivery of drugs into the brain.

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