scholarly journals Fatal Subarachnoid Hemorrhage from an Inflammatory Cavernous Carotid Artery Aneurysm: Failure of Conservative Treatment After Early Diagnosis —Case Report—

1996 ◽  
Vol 36 (11) ◽  
pp. 808-811 ◽  
Author(s):  
Hiroshi NAWASHIRO ◽  
Akira SHIMIZU ◽  
Katsuji SHIMA ◽  
Hiroo CHIGASAKI ◽  
Tatsumi KAJI ◽  
...  
2019 ◽  
Vol 128 ◽  
pp. 336-339 ◽  
Author(s):  
Elias Helou ◽  
Ahmad Sweid ◽  
Stavropoula Tjoumakaris ◽  
Nabeel Herial ◽  
Michael R. Gooch ◽  
...  

2020 ◽  
Vol 4 (3) ◽  
pp. 362-365
Author(s):  
Austin Brown ◽  
Health Jolliff ◽  
Douglas Poe ◽  
Michael Weinstock

Introduction: Diplopia is an uncommon emergency department (ED) complaint representing only 0.1% of visits, but it has a large differential. One cause is a cranial nerve palsy, which may be from a benign or life-threatening process. Case Report: A 69-year-old female presented to the ED with two days of diplopia and dizziness. The physical exam revealed a sixth cranial nerve palsy isolated to the left eye. Imaging demonstrated an intracavernous internal carotid artery aneurysm. The patient was treated with embolization by neurointerventional radiology. Discussion: The evaluation of diplopia is initially divided into monocular, usually from a lens problem, or binocular, indicating an extraocular process. Microangiopathic disease is the most common cause of sixth nerve palsy; however, more serious etiologies may be present, such as an intracavernous internal carotid artery aneurysm, as in the patient described. Imaging modalities may include computed tomography or magnetic resonance imaging. Conclusion: Some causes of sixth nerve palsy are benign, while others will require more urgent attention, such as consideration of an intracavernous internal carotid artery aneurysm.


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