Abstract
Introduction. Bilateral intracavernous carotid artery aneurysms (ICAAs) are extremely rare and difficult to treat. Case Report. A 26-year-old female presented in our clinic with acute diplopia due to oculomotor nerve palsy on the left side. Magnetic resonance imaging of the brain showed two heterogeneously enhanced masses indicating bilateral ICAA. An endovascular coil embolization was performed on the left side successfully, resulting in resolution of her symptoms. Conclusion. Thorough systemic evaluation in young patients with diplopia can reveal life-threatening underlying pathology and prevent major complications.
Highlights
Bilateral intracavernous carotid artery aneurysms (ICAAs) are extremely rare and difficult to treat
We report an unusual case of bilateral ICAA in a very young female patient presented as acute diplopia and treated with endovascular coil embolization
Infectious intracavernous aneurysms have been reported in the past [5]
Summary
Artery aneurysms are found in 5% of the general population and become symptomatic in 9/100.000, most frequently in the fifth and sixth decades of life [1]. Intracavernous carotid artery aneurysms (ICAAs) represent less than 1% of intracranial aneurysms and show a slight female predominance [2]. Bilateral intracavernous carotid artery aneurysms are extremely rare and difficult to treat. We report an unusual case of bilateral ICAA in a very young female patient presented as acute diplopia and treated with endovascular coil embolization
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