Cavernous Sinus Syndrome in a Polio-Afflicted Patient With Multiple Aneurysms

TL;DR

A 65-year-old woman with polio and multiple aneurysms was successfully treated for cavernous sinus syndrome using modern embolization techniques.

Contribution

This paper presents a rare case of CSS managed successfully without tumors, using embolization for multiple aneurysms and a carotid-cavernous fistula.

Findings

The patient had CSS caused by multiple aneurysms and a CCF, not a tumor.

Embolization procedures effectively managed the complex condition.

The case highlights the importance of personalized treatment strategies in CSS.

Abstract

Cavernous sinus syndrome (CSS) is a complex, multifactorial condition that presents with a myriad of signs and symptoms including ptosis, double vision, and headache. We present the case of a 65-year-old woman with a chief concern of left-eye pain, including polio syndrome and hip replacement surgery. Unlike typical CSS cases often linked to tumors, this patient's condition involved a carotid-cavernous fistula (CCF), multiple internal carotid artery aneurysms, and a pericallosal aneurysm, without any associated tumor. She presented with severe left eye pain, ptosis, double vision, vomiting, headache, and other neurological symptoms since she woke up. Her treatment at a tertiary care center included diagnostic imaging, a cerebral angiogram, and embolization procedures, and she was discharged in stable condition. This case adds significant value to the medical literature by documenting the successful management of CSS with multiple aneurysms and a CCF, highlighting the importance of personalized treatment strategies and the effectiveness of modern embolization techniques in complex neurological conditions.

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