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KMID : 0383419680090060771
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Korean Modern Medical Journal
1968 Volume.9 No. 6 p.771 ~ p.774
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A Case of Huge Intracavernous Aneurysm
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李孝一/Park, Hyo Il
崔德永/表鶴培/沈輔星/Choi, Duk Young/Pio, Hak Bae/Sim, Bo Sung
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Abstract
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A 40-year-old female was admitted to the hospital on January 18, 1968 because of headache, diplopia, ptosis and sensory change in the face on the right side. These symptoms had been progressive for about 3 months. Roentgenograms of the skull revealed erosion of the right sphenoidal ridge and widening of the right superior orbital fissure. Physical examination was ,normal. Neurological examination revealed complete paralysis of the right extraocular muscles, ptosis, dilated pupil and decreased sensation in the face on the right side. Right carotid angiograms revealed a huge intracavernous aneun-sm. Contralateral carotid angiogram and Matas tests showed an adequate circle of Willis and good cross-filling.
A Selverstone clamp was placed on the right common carotid artery and gradually occluded for 18 days because the patient did not tolerate the procedure well. On 20th postoperative day performed complete ligation, and right carotid angiogram was repeated and disclosed complete occlusion of the aneurysm. The symptoms were recovered except for limited lateral .gaze until two months after surgery.
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