Single internal carotid cavernous sinus aneurysm presented as bilateral painful ophthalmoplegia: a case report

BMC Neurology

Case Report

Yinyin Xie¹  Cui Wang²  Yajun Lian³  Wanwan Zhang³  Jiwei Zhang³  Nanchang Xie³  Hongbo Liu³ 

[1] Academy of Medical Sciences, Zhengzhou University, 450052, Zhengzhou, China;Department of Clinical Laboratory, Key Clinical Laboratory of Henan Province, The First Affiliated Hospital of Zhengzhou University, 450052, Zhengzhou, China;Department of Neurology, The First Affliated Hospital of Zhengzhou University, 450052, Zhengzhou, China;

关键词: Aneurysm;    Painful ophthalmoplegia;    Cavernous sinus;    Internal carotid artery;    Aneurysm embolization;   

DOI  :  10.1186/s12883-023-03066-0

 received in 2021-12-24, accepted in 2023-01-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIntracranial aneurysms are the most common vascular cause of painful ophthalmoplegia. Symptoms include retro-orbital pain, diplopia, ophthalmoplegia, trigeminal neuropathy, or a combination of these. Most single aneurysms cause ipsilateral, painful ophthalmoplegia. Here, we report the first, to our knowledge, case of bilateral painful ophthalmoplegia possibly caused by an aneurysm of the cavernous segment of the left internal carotid artery.Case presentationA 62-year-old male patient presented with headache and bilateral ptosis. Laboratory tests revealed hypopituitary function. Computerized tomography angiography showed a large aneurysm in the cavernous sinus segment of the left internal carotid artery. Aneurysm embolization was performed in the Nerve Interventional Department. Four months after surgery, the patient's symptoms returned to normal.ConclusionsThis case suggests that patients with bilateral painful ophthalmoplegia should be screened for aneurysms using computed tomography angiography or magnetic resonance angiography immediately.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

41116_2022_35_Article_IEq36.gif

41116_2022_35_Article_IEq30.gif

Fig. 2