Academic Journal
Spontaneous thrombosis of internal carotid artery: a natural history of giant carotid cavernous aneurysms Trombose espontânea da artéria carótida interna: a história natural dos aneurismas gigantes intracavernosos
| العنوان: | Spontaneous thrombosis of internal carotid artery: a natural history of giant carotid cavernous aneurysms Trombose espontânea da artéria carótida interna: a história natural dos aneurismas gigantes intracavernosos |
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| المؤلفون: | Lucas Perez de Vasconcellos, Juan Antônio Castro Flores, Mário Luiz Marques Conti, José Carlos Esteves Veiga, Carmen Lúcia Penteado Lancellotti |
| المصدر: | Arquivos de Neuro-Psiquiatria, Vol 67, Iss 2a, Pp 278-283 (2009) |
| بيانات النشر: | Academia Brasileira de Neurologia (ABNEURO) |
| سنة النشر: | 2009 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | aneurisma intracavernoso, trombose carotídea, aterosclerose, carotid cavernous aneurysms, carotid thrombosis, atherosclerosis, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571 |
| الوصف: | OBJECTIVE: To describe five cases of giant carotid cavernous aneurysms which evolved with spontaneous thrombosis of internal carotid artery (STICA), with emphasis at epidemiology, clinical presentation, natural history, related factors and neurological outcome. METHOD: There were 711 consecutives patients with 802 aneurysms with and without surgical treatment during a period of 19 years. We selected 35 patients with 40 carotid cavernous aneurysms (5%) of which 20 (50%) were giant aneurysms. Among those cases, 5 patients evolved with STICA (25%). Symptoms and findings at presentation were recorded and compared with those at outcome. RESULTS: Clinical presentation was commonly related to atherosclerotic factors such as elevated blood pressure (80%), diabetes mellitus (40%) and dislipidemy (40%). All patients presented with hemicranial headache, ophthalmparesy and retro bulbar pain, and after STICA all presented improvement of symptoms. After STICA, 4 patients had regression of deficit, 2 partial and 2 complete. Four patients had sensorial trigeminal neuropathy in V1 and V2 territories, also showing improvement of symptoms after STICA. CONCLUSION: STICA is a common outcome in giant carotid cavernous aneurysms, and is related with significant improvement of symptoms; however, it may be catastrophic for those patients without efficient collateral circulation. OBJETIVO: Relatar cinco casos de aneurismas gigantes intracavernosos que evoluíram com trombose espontânea da artéria carótida interna (TEACI), estudando-se: prevalência, apresentação clínica, história natural, fatores associados e prognóstico neurológico. MÉTODO: Análise de 711 pacientes consecutivos com diagnóstico de 802 aneurismas cerebrais submetidos a tratamento clínico ou cirúrgico num período de 19 anos. Foram identificados 40 aneurismas intracavernosos, sendo que 20 desses eram gigantes. Dentre esses, 5 pacientes com aneurismas gigantes intracavernosos que evoluíram com TEACI (25%). Os sintomas e sinais neurológicos da apresentação foram registrados e ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0004-282X 1678-4227 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2009000200020; https://doaj.org/toc/0004-282X; https://doaj.org/toc/1678-4227; https://doaj.org/article/58046cf7d1bb457494369209dbbaad56 |
| DOI: | 10.1590/S0004-282X2009000200020 |
| الاتاحة: | https://doi.org/10.1590/S0004-282X2009000200020 https://doaj.org/article/58046cf7d1bb457494369209dbbaad56 |
| رقم الانضمام: | edsbas.4384A24B |
| قاعدة البيانات: | BASE |
| تدمد: | 0004282X 16784227 |
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| DOI: | 10.1590/S0004-282X2009000200020 |