PT  - JOURNAL ARTICLE
AU  - Buño, Bonifacio Oliquino
AU  - Cruz, Franz Marie
TI  - Neuro-ophthalmological presentation of giant intracavernous carotid artery aneurysm in a child
AID  - 10.1136/bcr-2018-225842
DP  - 2018 Nov 01
TA  - BMJ Case Reports
PG  - e225842
VI  - 11
IP  - 1
4099  - http://casereports.bmj.com/content/11/1/e225842.short
4100  - http://casereports.bmj.com/content/11/1/e225842.full
SO  - BMJ Case Reports2018 Nov 01; 11
AB  - An otherwise healthy, 11-year-old boy presented with a long-standing history of right eye esotropia associated with a right head turn. Following a mild blunt facial trauma, he was brought to an ophthalmologist for binocular horizontal diplopia. Cranial CT scan revealed a large, enhancing lesion in the right cavernous sinus. Neuro-ophthalmological evaluation showed abduction deficit of the right eye, right corneal anaesthesia, right upper lid ptosis and a smaller right pupil suggesting involvement of the intracavernous segments of the right abducens nerve, ophthalmic nerve and oculosympathetic fibres. Cerebral angiography confirmed a large aneurysm involving the petrous, lacerum and cavernous segments of the right internal carotid artery. The child underwent successful clipping of the aneurysm by the neurosurgery service.