PMID: 9427173Jan 14, 1998Paper

Cavernous internal carotid artery aneurysms treated with electrolytically detachable coils

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
V V HalbachG B Hieshima

Abstract

To report the results of treatment of aneurysms involving the cavernous segment of the internal carotid artery treated with a new device, the electrolytically detachable platinum coil. Between 1991 and 1995, 220 patients with intracranial aneurysms were treated with the electrolytically detachable platinum coils. Thirty-five patients (16%) harbored aneurysms involving the cavernous segment of the internal carotid artery and are the subject of this report. The presenting symptoms were cranial nerve palsies in 19 (54%), epistaxis in 4 (11%), and subarachnoid hemorrhage in 3 (9%). The age ranged from 31 to 80 years, with a mean of 58 years, and included 26 women and 9 men. The aneurysm size ranged from 5 to 22 mm, with an average of 11.6 mm. Of the seven patients who presented with bleeding (epistaxis in four, subarachnoid bleeding in three), none had bleeding after treatment. Of patients who presented with cranial nerve palsy, 58% had complete resolution of signs and symptoms and 38% showed dramatic improvement. Only one patient who presented with severe visual loss and optic atrophy was slightly worse after treatment. Two patients died from causes unrelated to their cavernous aneurysms or their endovascular treatment. In patient...Continue Reading

Citations

Aug 27, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Robert M StarkeAaron S Dumont
Apr 15, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·N PouratianA S Dumont
Jan 19, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·G BenndorfA Unterberg
Jan 28, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·René ChapotEmmanuel Houdart
Aug 19, 2007·AJNR. American Journal of Neuroradiology·J B WhiteH J Cloft
Dec 4, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Vijayakumar JavalkarAnil Nanda
Mar 3, 2009·Journal of Neuroradiology. Journal De Neuroradiologie·F BingA Vasdev
Mar 25, 2014·Journal of Neurointerventional Surgery·Zaahir A TurfeDavid F Kallmes
Apr 3, 2014·World Neurosurgery·Sudheer AmbekarAnil Nanda
Oct 8, 2011·Otolaryngologic Clinics of North America·Rowan Valentine, Peter-John Wormald
May 5, 2009·Neurosurgical Focus·Christopher S EddlemanH Hunt Batjer
Jul 16, 2019·Neurointervention·Buqing LiangJason H Huang

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