Bilateral giant intracavernous aneurysms technique of unilateral operation

Hirotoshi Sano, V. K. Jain, Yoko Kato, Yoshifumi Kamei, Toshiro Asai, Kazuhiro Katada, Tetsuo Kanno

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12 Citations (Scopus)

Abstract

We report a case of bilateral intracavernous giant aneurysms of which the right side was clipped by direct surgery. Our case was a 74-year-old woman who developed bilateral abducens palsy. Computed tomography and angiography showed bilateral intracavernous giant aneurysms. This patient was followed up in the outpatient clinic. She developed headache and right trigeminal neuralgia 2 years later. The trigeminal pain was quite severe and very disturbing to her. Repeat angiography showed an increase in the size of the aneurysms. An operation was carried out after a balloon Matus test monitoring electroencephalogram, somatosensory evoked potential, and clinical symptoms. The cavernous sinus was opened and the aneurysm was clipped. There was no postoperative complication except right ophthalmoplegia which resolved after 3 months. Headache and trigeminal neuralgia also disappeared.

Original languageEnglish
Pages (from-to)35-38
Number of pages4
JournalSurgical Neurology
Volume29
Issue number1
DOIs
Publication statusPublished - 01-1988

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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