TY - JOUR
T1 - Cavernous carotid aneurysms
T2 - To treat or not to treat?
AU - Eddleman, Christopher S.
AU - Hurley, Michael C.
AU - Bendok, Bernard R.
AU - Batjer, H. Hunt
PY - 2009
Y1 - 2009
N2 - Most cavernous carotid aneurysms (CCAs) are considered benign lesions, most often asymptomatic, and to have a natural history with a low risk of life-threatening complications. However, several conditions may exist in which treatment of these aneurysms should be considered. Several options are currently available regarding the management of CCAs with resultant good outcomes, namely expectant management, luminal preservation strategies with or without addressing the aneurysm directly, and Hunterian strategies with or without revascularization procedures. In this article, we discuss the sometimes difficult decision regarding whether to treat CCAs. We consider the natural history of several types of CCAs, the clinical presentation, the current modalities of CCA management and their outcomes to aid in the management of this heterogeneous group of cerebral aneurysms.
AB - Most cavernous carotid aneurysms (CCAs) are considered benign lesions, most often asymptomatic, and to have a natural history with a low risk of life-threatening complications. However, several conditions may exist in which treatment of these aneurysms should be considered. Several options are currently available regarding the management of CCAs with resultant good outcomes, namely expectant management, luminal preservation strategies with or without addressing the aneurysm directly, and Hunterian strategies with or without revascularization procedures. In this article, we discuss the sometimes difficult decision regarding whether to treat CCAs. We consider the natural history of several types of CCAs, the clinical presentation, the current modalities of CCA management and their outcomes to aid in the management of this heterogeneous group of cerebral aneurysms.
KW - Cavernous carotid aneurysm
KW - Endovascular therapy
KW - Microsurgery
KW - Vascular surgery
UR - http://www.scopus.com/inward/record.url?scp=70349735854&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=70349735854&partnerID=8YFLogxK
U2 - 10.3171/2009.2.FOCUS0920
DO - 10.3171/2009.2.FOCUS0920
M3 - Review article
C2 - 19409005
AN - SCOPUS:70349735854
SN - 1092-0684
VL - 26
SP - 1
EP - 20
JO - Neurosurgical focus
JF - Neurosurgical focus
IS - 5
ER -