Exophtalmie unilatérale révélant un grand anévrysme de la carotide interne: à propos d’un cas

Boukili, Khaoula; Elmaaloum, L.; Allali, B.; Elkettani, A.

doi:10.11604/pamj.2021.39.196.30577

Cited by 2 publications

(5 citation statements)

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“…It is a true neuro-ophthalmological emergency because untreated cases can jeopardize life by causing ruptures resulting in cerebral or subarachnoid hemorrhages, sudden epistaxis. Functional prognosis is also at stake with the risk of ocular hypertension, optic atrophy, and decreased visual acuity [3]. The decrease in visual acuity observed in our patient was mainly due to neurogenic ptosis despite stage 1 papillary edema.…”

Section: Discussionmentioning

confidence: 55%

“…In our patient, a history of hypertension over several years was found. Although not reported, craniofacial trauma could be a risk factor since trauma accounts for 75% of carotidcavernous aneurysms or fistulas, and the onset of cavernous sinus syndrome can occur remotely from the trauma [3]. Presumption of cavernous sinus syndrome is clinical; however, diagnostic confirmation is essentially radiological.…”

Section: Discussionmentioning

confidence: 99%

“…Therapeutic management has significantly advanced with the advent of interventional neuroradiology. However, in case of failure of endovascular treatment, surgery remains a therapeutic alternative [3]. In this study, we report a case of cavernous sinus syndrome in a young woman secondary to an aneurysm of the internal carotid artery.…”

Section: Introductionmentioning

confidence: 92%

“…The diagnosis of cavernous sinus syndrome (CSS) is essentially twofold, involving clinical suspicion and radiological confirmation. Computed tomography (CT), magnetic resonance imaging (MRI), and/or arteriography are essential for highlighting these involvements [2,3]. Therapeutic management has significantly advanced with the advent of interventional neuroradiology.…”

Section: Introductionmentioning

confidence: 99%

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Cavernous Sinus Syndrome Secondary to Internal Carotid Aneurysm

Malick Sy,

Aw,

Ndiaye

et al. 2024

JOJO

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The goal of this work is to share a rare case of cavernous sinus syndrome diagnosed in our department and to highlight the challenges in managing this condition in our department.Observation: It was a 48-year-old known hypertensive patient who presented with a sudden decrease in visual acuity associated with a drooping of the right upper eyelid over the past month. The ophthalmological examination revealed a visual acuity limited to 1/10th, severe ptosis, complete ophthalmoplegia, decreased corneal sensitivity, areflexic mydriasis, and papillary edema in the right eye. The left eye showed no particularity. Angio-MRI revealed a partially thrombosed aneurysm of the right internal carotid artery, causing compression of the vascular and neural elements due to mass effect. The patient treatment required a transfer to the Neurosurgery Department.Discussion: Internal carotid artery aneurysm is a rare cause of cavernous sinus syndrome. The diagnosis is primarily clinical, and neuroimaging confirms the origin of the condition. Endovascular treatment has revolutionized management, which depends on the size, location, and integrity of the aneurysm. Conclusion:The cavernous sinus syndrome is a diagnostic and therapeutic emergency. Its management is delicate and relies on embolization. The prognostic of this condition remains reserved in our countries, even with the advent of new revolutionary techniques.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cavernous Sinus Syndrome Secondary to Internal Carotid Aneurysm

Malick Sy,

Aw,

Ndiaye

et al. 2024

JOJO

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“…The diagnosis is suspected clinically, and cerebral angiography confirms the diagnosis and guides therapeutic management. 9 Angioscanner is the preferred technique in cases of haemorrhagic complications. Magnetic resonance angiography is the gold standard for familial forms, particularly elastic tissue diseases.…”

Section: Discussionmentioning

confidence: 99%

Incidentaloma: cephaleas revealing partial thrombosis of internal carotid artery aneurysm during a 30-week pregnancy of amenorrhea: a case report

Jalal,

El-Abbassi,

Amghar

et al. 2024

OGIJ

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Abnormal dilatation of the wall of an intracranial artery under the influence of various factors results in what we call a cerebral aneurysm. This creates a pocket where blood accumulates, as it communicates with the vessel via a collar.1 When an aneurysm has not yet ruptured, it is usually detected incidentally, but sudden onset of headache should prompt a search for an intracranial vascular cause.2 In this work, we report a case of a patient who presented with sudden onset of headache which revealed partial thrombosis of an aneurysm of the internal carotid artery during a pregnancy presumed to be at 30 days' gestation + 5 days in severe preeclampsia.

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Exophtalmie unilatérale révélant un grand anévrysme de la carotide interne: à propos d’un cas

Cited by 2 publications

References 0 publications

Cavernous Sinus Syndrome Secondary to Internal Carotid Aneurysm

Cavernous Sinus Syndrome Secondary to Internal Carotid Aneurysm

Incidentaloma: cephaleas revealing partial thrombosis of internal carotid artery aneurysm during a 30-week pregnancy of amenorrhea: a case report

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