ISSN:
0942-0940
Keywords:
Keywords: Carotid opthalmic aneurysms; intracavernous aneurysms; common carotid ligation
;
MRI.
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary In four large, 15–25 mm, internal carotid artery aneurysms (3 intracavernous and 1 carotid ophtalmic), treatment by common carotid ligation was preferred. Pre- and postoperative MRI were obtained, at a delay between 5 to 9 years. Recovery of the ocular and visual symptomatology was a function of the role played by mechanical and/or ischaemic factors. No early or late consequences, ascribable to the common carotid ligation, were observed. Aneurysmal thrombosis occurred in the first postoperative week, but retraction of the thrombosed aneurysms was only obvious and maximal after several months. For this reason, rapid clinical recovery could be due, in the first instance, to the loss of aneurysmal pulsatility. Complete disappearance of the aneurysm was observed in two cases. In the other two, a small remnant of the initial lesion, without any unfavourable consequences, was revealed, respectively 6 and 9 years after the intervention, by current, modern-days, MRA.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s007010050485
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