Spontaneous thrombosis of a giant carotid-ophthalmic aneurysm and of the ipsilateral carotid: case report. Computed tomography and magnetic resonance imaging documented the presence of a thrombosed aneurysm in a right intra- and supra-cavernous site in a patient with headache and ophthalmoplegia. Panangiography confirmed complete thrombosis of the aneurysm together with occlusion of the ipsilateral internal carotid artery af far as the neck bifurcation. The patient was surgically treated by aneurysmotomy and thrombectomy; postoperative course was complicated by ischemic symptoms on the same side as the occluded internal carotid. The pathogenesis of spontaneous thrombosis of giant aneurysm and of the cerebral ischemia caused by embolisms detached from the stump of the right internal carotid artery reaching the cerebral artery via the opthalmic artery by reversed flow are discussed.
|Journal||Nuova Rivista di Neurologia|
|Publication status||Published - 1997|
- Ipsilateral internal carotid
ASJC Scopus subject areas
- Clinical Neurology