Background: We describe the case of a 62-year-old woman who was admitted to our center for acute diplopia secondary to a left III cranial nerve palsy, left eyelid swelling and ptosis, and mild ipsilateral retroorbital pain. No other motor or sensitive deficits were observed. Case Description: Computed tomography angiography and digital subtraction angiography were performed, showing a 25-mm left intracavernous aneurysm with a central intrasaccular thrombus, an intrasaccular “swirling” flow with a donut-shape appearance. A flow-diverter stent was deployed bridging the aneurysmal neck. Conclusions: Twelve months after the procedure the aneurysm was completely occluded, and the patient had totally recovered the cavernous syndrome. A careful literature review has been performed, and the different endovascular approaches have been analyzed.

A rare and symptomatic Cavernous Donut-shaped Aneurysm treated by Flow Diverter Deployment / Sgreccia, Alessandro; Antonio, Caragliano; Giuseppina, Sanfilippo; Campa, Serena; Roberto, Trignani; Mirko, Giannoni; Maurizio De Nicola, ; Arturo, Consoli; Georges, Rodesch; Polonara, Gabriele. - In: WORLD NEUROSURGERY. - ISSN 1878-8750. - 2019:121(2019), pp. 227-231. [10.1016/j.wneu.2018.09.219]

A rare and symptomatic Cavernous Donut-shaped Aneurysm treated by Flow Diverter Deployment.

SGRECCIA, ALESSANDRO
;
Serena Campa;Gabriele Polonara
2019-01-01

Abstract

Background: We describe the case of a 62-year-old woman who was admitted to our center for acute diplopia secondary to a left III cranial nerve palsy, left eyelid swelling and ptosis, and mild ipsilateral retroorbital pain. No other motor or sensitive deficits were observed. Case Description: Computed tomography angiography and digital subtraction angiography were performed, showing a 25-mm left intracavernous aneurysm with a central intrasaccular thrombus, an intrasaccular “swirling” flow with a donut-shape appearance. A flow-diverter stent was deployed bridging the aneurysmal neck. Conclusions: Twelve months after the procedure the aneurysm was completely occluded, and the patient had totally recovered the cavernous syndrome. A careful literature review has been performed, and the different endovascular approaches have been analyzed.
2019
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11566/260775
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