Abstract
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.
MeSH terms
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Carotid Artery, Internal / diagnostic imaging
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Carotid Artery, Internal / pathology
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Carotid Artery, Internal / surgery*
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Carotid Artery, Internal, Dissection / diagnosis
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Carotid Artery, Internal, Dissection / physiopathology
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Carotid Artery, Internal, Dissection / surgery*
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Clinical Protocols / standards
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Decision Trees
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Embolization, Therapeutic / instrumentation
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Embolization, Therapeutic / methods
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Embolization, Therapeutic / standards
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Humans
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Intracranial Aneurysm / diagnosis
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Intracranial Aneurysm / physiopathology
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Intracranial Aneurysm / surgery*
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Intraoperative Complications / epidemiology
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Neurosurgical Procedures / instrumentation
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Neurosurgical Procedures / methods
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Neurosurgical Procedures / standards*
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Radiography
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Risk Assessment
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Vascular Surgical Procedures / instrumentation
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Vascular Surgical Procedures / methods
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Vascular Surgical Procedures / standards*