Combining Internal Carotid Artery Occlusion with Intermediate-Flow Bypass for Treating Large-Giant Cavernous Sinus Segment Aneurysms: Case Report and Review of Literature

  • Robin Bhattarai Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Chuan Chen Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Chao Feng Liang Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Teng Chao Huang Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
  • Hui Wang Department of Neurosurgery, Third Affiliated Hospital of Sun Yat-Sen University
  • Ying Guo Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
Keywords: Internal carotid ligation, Large-giant cavernous sinus segment aneurysms, superficial temporal artery, Intermediate flow bypass, Middle cerebral artery

Abstract

We summarize the treatment effectiveness and experience of a patient who underwent internal carotid balloon occlusion combined with Intermediate-flow bypass as a treatment for large-giant cavernous sinus segment internalcarotid artery (CS ICA) aneurysms.

A 62-year-old woman presented with a large aneurysm on the right side of the cavernoussinus with dizziness for about two years and Oculomot or nerve palsy. An extra cranial intracranial (EC-IC) Intermediate-flow by pass using a radial artery bypass graft (RABG) and proximal balloon occlusion of the Right ICA were performed. The patient experienced no new neurologic deficit after this treatment. Follow up radiologic evaluations using Computed Tomography Angiography revealed complete aneurysm occlusion.

For patients with large-giant CS ICA aneurysms, treatment of ICA occlusion combined with Intermediate-flow superficial temporal artery-Radial artery-middle cerebralartery bypass surgery was an effective and safe surgical strategy.

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Author Biographies

Robin Bhattarai, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

M.S PhD, Department of Neurosurgery

Chuan Chen, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

MD, Department of Neurosurgery

Chao Feng Liang, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

Md, PhD Department of Neurosurgery

Teng Chao Huang, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

MD Department of Neurosurgery

Ying Guo, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China

MD, PhD Department of Neurosurgery

Published
2019-06-12
How to Cite
Bhattarai, R., Chen, C., Liang, C., Huang, T., Wang, H., & Guo, Y. (2019). Combining Internal Carotid Artery Occlusion with Intermediate-Flow Bypass for Treating Large-Giant Cavernous Sinus Segment Aneurysms: Case Report and Review of Literature. Nepal Journal of Neuroscience, 16(1), 42-47. https://doi.org/10.3126/njn.v16i1.24431
Section
Case Report