Giant Cavernous Carotid AneurysmsClinical Presentation in Fifty‐seven Cases
作者:
Cecil Hahn,
David Nicolle,
Stephen Lownie,
Charles Drake,
期刊:
Journal of Neuro-Ophthalmology
(OVID Available online 2001)
卷期:
Volume 20,
issue 4
页码: 253-258
ISSN:1070-8022
年代: 2001
出版商: OVID
关键词: Carotid artery diseases;Cerebral aneurysm;Internal carotid artery;Cavernous sinus;Ophthalmoplegia;Case series;Retrospective studies.
数据来源: OVID
摘要:
Objectives:To review the presenting symptoms and ophthalmic findings of 57 patients with cavernous carotid aneurysms of giant size (≥2.5‐cm diameter).Materials and Methods:Hospital charts of 57 patients with giant cavernous carotid aneurysms who presented to University Hospital in London, Ontario, Canada between 1961 and 1993 were reviewed. All patients were proven by cerebral angiography to have unruptured giant cavernous carotid aneurysms.Results:Forty‐six patients (81%) were women (mean age, 54 years). The most common presenting symptoms were diplopia (89%), retroorbital pain (61%), headache (19%), diminished or blurred vision (14%), and photophobia (4%). The most common clinical sign was partial or complete ophthalmoplegia (93%). Trigeminal nerve involvement was found in 37% of patients. Other clinical signs included ptosis, decreased visual acuity, proptosis, and visual field defects.Conclusions:This study characterizes a large group of patients with giant cavernous carotid aneurysms seen over a 30‐year period at a single institution. As in previous studies, diplopia and retroorbital pain were the most common symptoms. The high incidence of ophthalmoplegia observed in this study may be explained by a greater compressive and/or ischemic effect of giant aneurysms compared with their smaller counterparts.
点击下载:
PDF
(2659KB)
返 回