Unruptured cavernous carotid aneurysms (CCAAs)

Question 1

Mc site to delvlope

Answer 1

Horizontal segment of C4 of ICA

Question 2

Sx CCAAS

Answer 2

cavernous sinus syndrome

Question 3

cavernous sinus syndrom

Answer 3

Diplopia due to ophthalmoplegia
CN 3 palsy sparing pupils ( sympathetic paralyzed? .🔛 PCOM
Monocular blindness due to strangulation of the optic nerve

Question 4

Emergency 🚨 Indication for TX

Answer 4

epistaxis or SAH.

intolerable pain or visual problems

Question 5

Other indication for Tc CCAA

Answer 5

Giant especially if subarachnoid extension of CCAAs may be indicated by “waisting” of the aneurysm on angiography
Enlarge on serial image

Question 6

endarterectomy vs risk of rupture,

Answer 6

There has been no evidence that doing the endarterectomy increases the risk of rupture,

Question 7

TX option

Answer 7

detachable coils ⬇️ size by 50%

Question 8

Multiple aneurysms Indication that anurysum highly
Bled

Answer 8

1- epicenter
2-vasospasm
3-Murphy’s teat”
4- largest