Saccular internal carotid artery aneurysm

Published Date: 19th October 2018

Publication Authors: Mohsin N

An 84-year-old woman presented to the emergency department with a 3-day history of progressive binocular diplopia on right-sided horizontal gaze, accompanied with gradual-onset right-sided periorbital headache, vomiting and diarrhoea. Medical history consisted of hypertension and chronic kidney disease, stage 2.

Clinical examination demonstrated right-sided VI cranial nerve palsy, normal pupillary light reaction, visual acuity and fields. No other neurological deficits elicited. No clinical features of hypercortisolism, growth hormone excess or adrenal insufficiency were displayed.

 

Goldsmith, L; Williams, S; Mohsin, N; Srinivas-Shankar, U. (2018). Saccular internal carotid artery aneurysm masquerading as a pituitary macroadenoma . BMJ Case Reports. epub 2 Oct

 

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