This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Micheli, F. Articles by Parera, I. C. Search for Related Content PubMed PubMed Citation Articles by Micheli, F. Articles by Parera, I. C.

Stroke, Vol 20, 1751-1754, Copyright © 1989 by American Heart Association

ARTICLES

Bacterial cavernous sinus aneurysm treated by detachable balloon technique

F Micheli, A Schteinschnaider, LL Plaghos, M Melero, D Mattar and IC Parera
Department of Neurology, Hospital de Clinicas Jose de San Martin, University of Buenos Aires, Argentina.

We describe a patient who developed bilateral cavernous sinus septic thrombosis secondary to a suppurative lesion on the left cheek. Despite clinical improvement, left oculomotor symptoms recurred suddenly. A carotid artery aneurysm within the cavernous sinus was diagnosed by means of magnetic resonance imaging and confirmed by digital angiography. Follow-up angiograms showed an initial decrease in the aneurysm size, with subsequent enlargement. A latex contrast-filled balloon was successfully placed within the aneurysm, preserving the carotid parent artery blood flow. Our case illustrates the usefulness of the detachable balloon technique in the treatment of bacterial aneurysms of the cavernous sinus as an alternative treatment to carotid artery ligation.