Presentation and treatment of carotid cavernous aneurysms.

Abstract:

:We analyzed a group of patients with the diagnosis of internal carotid aneurysms in its intracavernous segment, with emphasis in prevalence, clinical features, treatments, evolution and neurological prognosis. Neurological signs and symptoms at initial presentation were registered and compared with final outcome. Patients were divided into two stratified groups, one with 19 patients which underwent interventionist treatment, and another with 21 patients who were conservatively treated. The present study demonstrated that intervention is significantly correlated with a better prognosis considering evolution of pain symptoms secondary to neurovascular compression (p=0,002). Regarding neurological deficits, an interventionist approach was also significantly correlated with better outcome in comparison with initial presentation (p=0,008). These results indicate that interventionist treatment determines improvement or resolution of pain symptoms in comparison with patients conservatively treated, as well as stabilization or partial improvement of neuro-ophthalmological deficits.

journal_name

Arq Neuropsiquiatr

authors

Vasconcellos LP,Flores JA,Veiga JC,Conti ML,Shiozawa P

doi

10.1590/s0004-282x2008000200009

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

189-93

issue

2A

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2008000200009

journal_volume

66

pub_type

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