A singular case of cavernous internal carotid artery aneurysm in patient with cavernous sinus syndrome and bacterial meningitis

Developmental Biology

Silvia Stagni¹  Federico Sacchetti¹  Luigi Cirillo⁴  Luigi Raumer²  Luca Spinardi³  Nicola Dentale² 

[1] Radiology Unit, Department of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy$$;Division of Infectious Diseases, Department of Internal Medicine, Aging, and Nephrologic Diseases, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy$$;Neuroradiology Unit, Department of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy$$;Neuroradiology Department, IRCCS Institute of Neurological Sciences of Bologna, Bellaria Hospital, Bologna, Italy$$

关键词: Cavernous sinus syndrome;    Cavernous ICA aneurysm;    Bacterial meningitis;    MRI;    DSA;   

DOI  :  10.1016/j.radcr.2016.05.005

学科分类：医学（综合）

来源: University of Washington * Department of Radiology

【 摘 要 】

We report the uncommon case of an acute cavernous sinus syndrome in a patient who was consequently discovered to have both a cavernous internal carotid artery aneurysm and bacterial meningitis. Which came first, the chicken or the egg? Which of the two, the aneurysm or the meningitis, gave rise to the patient’s symptoms? We briefly reviewed the literature of similar cases and tried to analyze the possible pathophysiological relationship between these findings. Moreover, this case highlights the importance of a multidisciplinary management of these patients to better decide between a medical and a surgical and/or endovascular treatment.

【 授权许可】

Unknown