Evolution of Management Strategies for Cavernous Carotid Aneurysms: A Review

Cavernous Carotid Aneurysms: To Do or Not To Do?

“…[1] These aneurysms are can be idiopathic, traumatic, iatrogenic, or infectious in etiology. Traumatic, iatrogenic, and infectious aneurysms have an aggressive course and need urgent intervention.…”

“…The second cranial nerve is an exception and visual recovery following decompression has been reported in few cases. [12] Like other causes of cranial nerve deficits, the duration of the deficits before treatment can have an impact on the resolution of the deficit.…”

“…Both endovascular and surgical options carry significant risks, and the overall mortality and morbidity varies from 3.23%–22.6% to 9.2%–14.8%, respectively. [1] The decision to intervene thus needs to be made judiciously and the type of treatment ought to be justified adequately.…”

“…With the advent of flow diverters, the results have improved with an obliteration rate of 60%–80% with morbidity ranging from 10.44% (9.9%–15.2%) and mortality of 6.86% (2.3%–9.2%). [1] However, in developing countries like India, cost is a major limitation for endovascular techniques, and surgical option remains the mainstay of treatment.…”

“…Other authors have not been able to reproduce the same results and report a high risk of morbidity (17.45%) and mortality (31.27%). [1] Direct clipping is thus seldom preferred.…”