Reid Devaun M, Chalasani Nishanth, Khadka Monica, Kahlon Sunny, Giangreco Martin
Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
Cureus. 2024 May 20;16(5):e60673. doi: 10.7759/cureus.60673. eCollection 2024 May.
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.
海绵窦综合征（CSS）是一种复杂的多因素病症，表现为多种体征和症状，包括上睑下垂、复视和头痛。我们报告一例65岁女性病例，主要症状为左眼疼痛，该患者有小儿麻痹综合征病史且接受过髋关节置换手术。与典型的常与肿瘤相关的CSS病例不同，该患者的病情涉及颈内动脉海绵窦瘘（CCF）、多个颈内动脉瘤和一个胼周动脉瘤，未伴有任何相关肿瘤。自醒来后，她出现了严重的左眼疼痛、上睑下垂、复视、呕吐、头痛及其他神经症状。她在一家三级医疗中心接受的治疗包括诊断性影像学检查、脑血管造影和栓塞手术，出院时病情稳定。该病例通过记录成功治疗伴有多个动脉瘤和CCF的CSS，为医学文献增添了重要价值，突出了个性化治疗策略的重要性以及现代栓塞技术在复杂神经病症中的有效性。
