scholarly journals An unusual presentation of “Mirror-Image” bilateral giant carotid cavernous aneurysms: Case report and review of the literature

2021 ◽  
Vol 12 (2) ◽  
pp. 544-548
Author(s):  
Yao Christian Hugues Dokponou ◽  
Mamoune El Mostarchid ◽  
Housni Abderrahmane ◽  
Zakaria Chandide Tlemcani ◽  
Abad Cherif El Asri ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Clinical Presentation ◽  
Mass Effect ◽  
Neurological Complications ◽  
Mirror Image ◽  
Review Of The Literature ◽  
Head Ct ◽  
Intracavernous Carotid Artery ◽  
Neurovascular Structures

The almost asymptomatic “mirror-image” bilateral giant intracavernous carotid artery aneurysms are not common and its successful conservative management without further neurological complications is rarely reported. We report a case of a 64-year-old woman, admitted with a rapidly progressive headache, with no other signs or symptoms associated. The Head CT-Scan shows bilateral parasellar round hyperdense lesions and the Magnetic resonance angiography discloses bilateral giant intracavernous carotid artery aneurysms in detail. The clinical presentation of these types of lesions depends on their mass effect on the surrounding neurovascular structures. So, possibly no mass effect on any structure, then no obvious expected symptoms. A patient with these conditions and without neurological deficit should not be rushed to surgery or endovascular treatment.

Aneurysms of the Intracavernous Carotid Artery: Clinical Presentation, Radiographic Features, and Pathogenesis

Neurosurgery ◽  
1990 ◽  
Vol 26 (1) ◽  
pp. 71-79 ◽  
Author(s):  
Mark E. Linskey ◽  
Laligam N. Sekhar ◽  
William Hirsch ◽  
Howard Yonas ◽  
Joseph A. Horton
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Clinical Presentation ◽  
Mass Effect ◽  
Sensory Loss ◽  
Intracavernous Carotid Artery ◽  
History Of ◽  
Nerve Paresis ◽  
Sixth Nerve

Abstract Thirty-seven patients with 44 intracavernous carotid artery aneurysms (ICCAAns) were seen at one institution from 1976 through 1988. Fifteen patients had multiple intracranial aneurysms and 7 had bilateral ICCAAns. Age at diagnosis ranged from 15 to 80 (median 61). Thirty patients were women. Sixteen had a history of hypertension. In 34% of patients the ICCAAns were asymptomatic at diagnosis. 36% were associated with headache, and 57% had associated signs or symptoms of mass effect including sixth nerve paresis (43%). trigeminal pain or sensory loss (32%), third nerve paresis (20%), decreased vision or visual field cut (18%), fourth nerve paresis (16%), and Horner's syndrome (7%). In 4 patients the ICCAAns ruptured, leading to subarachnoid hemorrhage in 3 and epistaxis in 1. Two patients with ICCAAns were seen with spontaneous thrombosis of the ipsilateral internal carotid artery leading to distal ischemic symptoms in 1. More than 90% of the ICCAAns were saccular. Thirty-four percent were small (<1 cm), 48% were large (1 to 2.5 cm), and 16% were giant (>2.5 cm). The majority arose from the anterior genu of the intracavernous internal carotid artery, followed in frequency by the horizontal segment, and then the posterior genu. Magnetic resonance imaging is superior to computed tomography for diagnosing ICCAAns and is the screening procedure of choice. Angiography remains the “gold standard” for diagnosis and determining specific anatomic details necessary to plan therapy. Analyzing the radiographic anatomy of 44 ICCAAns, we conclude that theories attributing the origin of aneurysms to arterial bifurcations may be inadequate to explain the point of origin and direction of take off of up to one-fourth of ICCAAns. (Neurosurgery 26:71-79, 1990)

scholarly journals Erythromelanosis Follicularis Faciei et Colli: A Case Report in a Caucasian Male and Brief Review of the Literature

2020 ◽  
Vol 12 (3) ◽  
pp. 231-235
Author(s):  
Carl Maximilian Thielmann ◽  
Wiebke Sondermann
Keyword(s):  
Case Report ◽  
Family History ◽  
Clinical Presentation ◽  
Rare Condition ◽  
Unknown Etiology ◽  
Review Of The Literature ◽  
Caucasian Male

Erythromelanosis follicularis faciei et colli, a rare condition of unknown etiology, was first described by Kitamura et al. from Japan in 1960. It is characterized by a triad consisting of well-demarcated erythema, hyperpigmentation, and follicular papules. We report the case of a 50-year-old Caucasian male, who had asymptomatic symmetrical facial lesions since the age of 42. His family history was unremarkable. Published erythromelanosis follicularis faciei et colli cases of the last 10 years are summarized in this report to demonstrate the variability and differences in the clinical presentation of this uncommon diagnosis.

scholarly journals Addison’s Disease and Dilated Cardiomyopathy: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Viktoriya Mozolevska ◽  
Anna Schwartz ◽  
David Cheung ◽  
Bilal Shaikh ◽  
Kapil M. Bhagirath ◽  
...  
Keyword(s):  
Case Report ◽  
Dilated Cardiomyopathy ◽  
Clinical Presentation ◽  
Addison’S Disease ◽  
Addison's Disease ◽  
Review Of The Literature ◽  
Cardiac Disorder ◽  
New Onset

Addison’s disease is often accompanied by a number of cardiovascular manifestations. We report the case of a 30-year-old man who presented with a new onset dilated cardiomyopathy due to Addison’s disease. The clinical presentation, treatment, and outcomes of this rare hormone mediated cardiac disorder are reviewed.

Aneurysm of the Kinked Extracranial Internal Carotid Artery Case Report and Review of the Literature

2005 ◽  
Vol 105 (4) ◽  
pp. 407-409 ◽  
Author(s):  
U. Alpagut ◽  
M. Ugurlucan ◽  
E. Kafali ◽  
O. Ali Sayin ◽  
T. Demir ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Review Of The Literature ◽  
Extracranial Internal Carotid Artery
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