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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(02): 547-549
DOI: 10.4103/ajns.AJNS_39_18
Case Report

Mycotic aneurysm of intracavernous internal carotid artery presenting as cavernous sinus syndrome

Kumudini Sharma
Department of Ophthalmology, Sanjay Gandhi Postgraduate Institution of Medical Sciences, Lucknow, Uttar Pradesh
,
Vikas Kanaujia
Department of Ophthalmology, Sanjay Gandhi Postgraduate Institution of Medical Sciences, Lucknow, Uttar Pradesh
,
Rachna Agarwal
Department of Ophthalmology, Sanjay Gandhi Postgraduate Institution of Medical Sciences, Lucknow, Uttar Pradesh
,
Vivek Singh
1   Department of Radiology, Sanjay Gandhi Postgraduate Institution of Medical Sciences, Lucknow, Uttar Pradesh
,
Priyadarshini Mishra
Department of Ophthalmology, Sanjay Gandhi Postgraduate Institution of Medical Sciences, Lucknow, Uttar Pradesh
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Mycotic intracranial aneurysms are infectious aneurysms accounting for 0.7%–6.5% of all intracranial aneurysms and are most commonly located in distal branches of the middle cerebral arteries, particularly at the bifurcation area. They are caused by weakening of the vessel wall secondary to infection of a segment of the artery that can be endovascular as in infective endocarditis or extravascular as in meningitis or cavernous sinus thrombophlebitis. The rare occurrence of the mycotic cavernous internal carotid artery aneurysm, its variable clinical picture and limited knowledge of its natural course is a challenge for both diagnosis and management.

Key-words:

Cavernous sinus syndrome - coil embolization - mycotic intracranial aneurysms

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Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Cloud GC, Rich PM, Markus HS. Serial MRI of a mycotic aneurysm of the cavernous carotid artery. Neuroradiology 2003;45:546-9.
  • 2 Linskey ME, Sekhar LN, Hirsch WL Jr., Yonas H, Horton JA. Aneurysms of the intracavernous carotid artery: Natural history and indications for treatment. Neurosurgery 1990;26:933-7.
  • 3 Suwanwela C, Suwanwela N, Charuchinda S, Hongsaprabhas C. Intracranial mycotic aneurysms of extravascular origin. J Neurosurg 1972;36:552-9.
  • 4 Ebright JR, Pace MT, Niazi AF. Septic thrombosis of the cavernous sinuses. Arch Intern Med 2001;161:2671-6.
  • 5 Micheli F, Schteinschnaider A, Plaghos LL, Melero M, Mattar D, Parera IC. Bacterial cavernous sinus aneurysm treated by detachable balloon technique. Stroke 1989;20:1751-4.
  • 6 Ghali MG, Ghali EZ. Intracavernous internal carotid artery mycotic aneurysms: Comprehensive review and evaluation of the role of endovascular treatment. Clin Neurol Neurosurg 2013;115:1927-42.
  • 7 Gupta V, Jain V, Mathuria SN, Khandelwal N. Endovascular treatment of a mycotic intracavernous carotid artery aneurysm using a stent graft. Interv Neuroradiol 2013;19:313-9.