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October 1951

BILATERAL INTERNAL CAROTID ANEURYSM INVOLVING CAVERNOUS SINUS: Right Carotid Artery-Cavernous Sinus Fistula and Left Saccular Aneurysm

Author Affiliations

From the Wills Hospital and the Department of Neurology, Jefferson Medical College of Philadelphia.

AMA Arch Ophthalmol. 1951;46(4):403-407. doi:10.1001/archopht.1951.01700020414004

BILATERAL aneurysms involving the internal carotid artery in the cavernous sinus are rare and present difficulties in diagnosis and treatment. Among 75 verified aneurysms, only a single instance of such an aneurysm has been encountered. For this reason the case here reported appears to be significant.

REPORT OF A CASE  Bilateral aneurysm of cavernous sinus; carotid artery-cavernous sinus fistula on right and saccular aneurysm on left.

History.  —M. L. (J. H. #NH8890), a woman aged 45, was transferred to the Jefferson Medical College Hospital from the service of one of us (I. M. T.) in the Wills Hospital on Dec. 2, 1950. She had been well until about five weeks before admission (Oct. 30), when she suddenly experienced a dizzy spell while undressing for bed. She described this episode as a "sinking, swimming sensation," from which she had suffered from time to time in the past. As a result of

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