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A CASE OF A LARGE INTERNAL CAROTID ANEURYSM MANIFESTING "CAVERNOUS SINUS SYNDROME" Hiroshi SHIBASAKI 1 , Shukuro ARAKI 1 1Neurological Institute, Kyushu University Faculty of Medicine pp.181-185
Published Date 1967/2/1
DOI https://doi.org/10.11477/mf.1406202180
  • Abstract
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This is to report a 54-year-old Japanese housewife who was admitted to the Department of Neurology, Kyushu University, on May 9, 1966 with the chief complaints of visual loss of the left eye, squint, droop-ing of the left upper eyelid, neuralgic pains on the left face, and occasional headaches. These symptoms appeared insidiously about 7 months prior to the ad-mission, and have been slowly progressive. The neuro-logical examination on admission disclosed a slight to moderate paresis of the left 2nd, 3rd, 4th, 5th (1st and 2nd branches only), 6th and 7th cranial nerves. Routine laboratory examinations were within normal limits, including lumbar puncture and electroencephalo-gram. Skull X-ray series revealed an erosion of the left anterior and posterior clinoid processes. The optic foramen view showed characteristically an erosion of the lateral bony wall of the left optic canal.The left carotid angiography revealed a large, 4.5×4.0×4.0cm sized aneurysm in the intracranial, infraclinoid portion of the left internal carotid artery. Since the cross-filling angiography with the left carotid compre-ssion disclosed that the aneurysm was located proxi-mal to the anterior-middle bifurcation, a ligation of the cervical portion of the left internal carotid artery in combination with clipping of the efferent artery was performed, followed by satisfactory results with-out any complication.

The aneurysm in this case was the largest among the internal carotid aneurysms previously reported in Japan.

We discussed "cavernous sinus syndrome". The sym-ptoms, seen in our case, were different from the so-called "cavernous sinus syndrome" in that our case also had an impairment of the taste sense unilaterally on the left.


Copyright © 1967, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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