Cargando…
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...
Autores principales: | , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1783346183106723840 |
---|---|
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. |
format | Online Article Text |
id | pubmed-6084507 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT gagliardidelia bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT faravelliirene bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT villaluisa bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT peroguglielmo bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT cinnanteclaudia bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT brusaroberta bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT maurieleonora bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT tresoldilaura bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT magrifrancesca bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT govonialessandra bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT bresolinnereo bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT comigiacomop bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature AT cortistefania bilateralcavernouscarotidaneurysmsatypicalpresentationofararecauseofmasseffectacasereportandareviewoftheliterature |