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Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature

Bilateral cavernous carotid aneurysms (CCAs) represent a rare medical condition that can mimic other disorders. We present a rare case of bilateral CCAs simulating an ocular myasthenia. A 76-year-old woman presented with a history of fluctuating bilateral diplopia and unilateral ptosis, which led to...

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Autores principales: Gagliardi, Delia, Faravelli, Irene, Villa, Luisa, Pero, Guglielmo, Cinnante, Claudia, Brusa, Roberta, Mauri, Eleonora, Tresoldi, Laura, Magri, Francesca, Govoni, Alessandra, Bresolin, Nereo, Comi, Giacomo P., Corti, Stefania
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084507/
https://www.ncbi.nlm.nih.gov/pubmed/30116219
http://dx.doi.org/10.3389/fneur.2018.00619
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author Gagliardi, Delia
Faravelli, Irene
Villa, Luisa
Pero, Guglielmo
Cinnante, Claudia
Brusa, Roberta
Mauri, Eleonora
Tresoldi, Laura
Magri, Francesca
Govoni, Alessandra
Bresolin, Nereo
Comi, Giacomo P.
Corti, Stefania
author_facet Gagliardi, Delia
Faravelli, Irene
Villa, Luisa
Pero, Guglielmo
Cinnante, Claudia
Brusa, Roberta
Mauri, Eleonora
Tresoldi, Laura
Magri, Francesca
Govoni, Alessandra
Bresolin, Nereo
Comi, Giacomo P.
Corti, Stefania
author_sort Gagliardi, Delia
collection PubMed
description Bilateral cavernous carotid aneurysms (CCAs) represent a rare medical condition that can mimic other disorders. We present a rare case of bilateral CCAs simulating an ocular myasthenia. A 76-year-old woman presented with a history of fluctuating bilateral diplopia and unilateral ptosis, which led to the suspicion of ocular myasthenia. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the brain showed the presence of large bilateral aneurysms of the carotid cavernous tract. After an unsuccessful attempt with steroid therapy, the patient underwent endovascular treatment, with mild improvement. Bilateral CCAs can cause pupil sparing third nerve palsies and other cranial neuropathies which can mimic signs and symptoms of disorders of the neuromuscular junction. Therefore, the possibility of a vascular lesion simulating ocular myasthenia should be considered especially in older patients.
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spelling pubmed-60845072018-08-16 Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature Gagliardi, Delia Faravelli, Irene Villa, Luisa Pero, Guglielmo Cinnante, Claudia Brusa, Roberta Mauri, Eleonora Tresoldi, Laura Magri, Francesca Govoni, Alessandra Bresolin, Nereo Comi, Giacomo P. Corti, Stefania Front Neurol Neurology Bilateral cavernous carotid aneurysms (CCAs) represent a rare medical condition that can mimic other disorders. We present a rare case of bilateral CCAs simulating an ocular myasthenia. A 76-year-old woman presented with a history of fluctuating bilateral diplopia and unilateral ptosis, which led to the suspicion of ocular myasthenia. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the brain showed the presence of large bilateral aneurysms of the carotid cavernous tract. After an unsuccessful attempt with steroid therapy, the patient underwent endovascular treatment, with mild improvement. Bilateral CCAs can cause pupil sparing third nerve palsies and other cranial neuropathies which can mimic signs and symptoms of disorders of the neuromuscular junction. Therefore, the possibility of a vascular lesion simulating ocular myasthenia should be considered especially in older patients. Frontiers Media S.A. 2018-08-02 /pmc/articles/PMC6084507/ /pubmed/30116219 http://dx.doi.org/10.3389/fneur.2018.00619 Text en Copyright © 2018 Gagliardi, Faravelli, Villa, Pero, Cinnante, Brusa, Mauri, Tresoldi, Magri, Govoni, Bresolin, Comi and Corti. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Gagliardi, Delia
Faravelli, Irene
Villa, Luisa
Pero, Guglielmo
Cinnante, Claudia
Brusa, Roberta
Mauri, Eleonora
Tresoldi, Laura
Magri, Francesca
Govoni, Alessandra
Bresolin, Nereo
Comi, Giacomo P.
Corti, Stefania
Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature
title Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature
title_full Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature
title_fullStr Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature
title_full_unstemmed Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature
title_short Bilateral Cavernous Carotid Aneurysms: Atypical Presentation of a Rare Cause of Mass Effect. A Case Report and a Review of the Literature
title_sort bilateral cavernous carotid aneurysms: atypical presentation of a rare cause of mass effect. a case report and a review of the literature
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084507/
https://www.ncbi.nlm.nih.gov/pubmed/30116219
http://dx.doi.org/10.3389/fneur.2018.00619
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