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

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.

Keywords: cavernous sinus aneurysms; internal carotid artery aneurysm; neuro-surgery; pericallosal aneurysm; post-polio paralysis.

Figure 1. A 0.9 x 0.7 cm saccular aneurysm of the left cavernous segment of the left internal carotid artery.

Figure 2. The left cavernous sinus is expanded and an abnormal flow void is visualized within the left cavernous sinus.