Spontaneous Thrombosis of Intracavernous Internal Carotid Artery Aneurysm and Parent Artery Occlusion in Patients With Positive Balloon Test Occlusion. Two Case Reports.

Kurokawa, Ryu; Kuroshima, Yoshiaki; Yoshida, Kazunari; Kawase, Takeshi

doi:10.2176/nmc.41.436

Cited by 21 publications

(24 citation statements)

References 16 publications

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“…There was spasm of the parent artery which could have been due to the mass effect of the giant aneurysm leading to stagnation of flow. This has been reported previously in cases of giant intracavernous internal carotid artery aneurysms which thrombosed along with parent artery 14,15 . It has also been pointed out that thrombosis of giant aneurysms is not only due to intraluminal factors but also due to the vessel wall itself.…”

Section: Discussionsupporting

confidence: 71%

Disappearing Saccular Intracranial Aneurysms: Do They Really Disappear?

et al. 2007

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Evolution and natural history of cerebral aneurysms is a dynamic process. Spontaneous regression in size or complete disappearance of an aneurysm is a known phenomenon, more commonly noted in giant intracranial aneurysms. However, reappearance or regrowth of such aneurysms is rare with few anecdotal reports. We report a series of four cases including one giant aneurysm, which either disappeared or regressed on sequential angiograms. Regrowth or reappearance of two of these previously disappeared or regressed aneurysms was noted and endovascularly treated while the other two cases are being followed up. The decision to follow up was crucial considering the nature of the aneurysms to change in morphology under the influence of various hemodynamic factors.

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Section: Discussionsupporting

confidence: 71%

Disappearing Saccular Intracranial Aneurysms: Do They Really Disappear?

et al. 2007

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“…17 These aneurysms often present with third, fifth, or sixth cranial nerve palsies; rarely, they bleed and cause subarachnoid hemorrhage. 18 The treatment of thrombosed aneurysms is still a challenge, and some authors suggest surgery in symptomatic patients to relieve the mass effect. Lawton et al 19 made a morphologic and therapeutic classification of thrombosed intracranial aneurysms, proposing that only totally thrombosed aneurysms (type 4) can be treated with watchful waiting.…”

Section: Discussionmentioning

confidence: 99%

Sphenoid Sinus Mucocele Caused by a Completely Thrombosed Intracavernous Carotid Artery Aneurysm: An Unusual Association

et al. 2014

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Background Mucocele is an inflammatory disease caused by the retention of mucoid secretions within a paranasal sinus. Although rare, the presence of a vascular lesion inside the sphenoid sinus could determine ostium obstruction, thus causing mucocele development. Clinical Presentation An 84-year-old woman was referred to our institution due to a lesion abutting into the sphenoid sinus; she was complaining of constrictive frontal headache, progressive worsening of visual acuity in the left eye; later, sudden homolateral ptosis and diplopia occurred. The radiologic evidence was consistent with the diagnosis of thrombosed aneurysm of the right intracavernous carotid artery, surrounded by sphenoidal mucocele. The patient underwent an endoscopic endonasal transsphenoidal approach exclusively for sphenoid mucocele drainage. Conclusion Although rare, the presence of a vascular lesion inside the sphenoid sinus has to be considered among the possible diagnostic hypotheses of masses abutting in this cavity; the association with mucocele is even more rare and, to date, has not been described.

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“…Karotis arter trombüsü için aterosklerozun dışında travma ya da karotis arter anevrizması zemin hazırlayabilmektedir. 7,8 Herhangi bir travma öyküsü olmayan olgumuzda, yapılan tetkikler sonucunda anevrizma saptanamadı.…”

Section: Discussionunclassified