Cefaléia e disfunção de nervos cranianos secundários a aneurisma de artéria carótida: relato de dois casos e revisão da literatura

Pedro Neves Fortunato; Danilo Takashi Yoshimatsu Ueno; Mariana Suemi Sukessada; Gabriel Santaterra Barros; João Fernando Cloclet Pio da Silva; Bruna Franchito Freire; Daniela Alves Gulhote; Ana Beatriz Barbosa Piffer; Hilton Mariano da Silva Junior

doi:10.48208/HeadacheMed.2022.35

Autores

Pedro Neves Fortunato Department of Neurology and Neurosurgery of Hospital Municipal Dr. Mário Gatti, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0003-2299-5734
Danilo Takashi Yoshimatsu Ueno Department of Neurology and Neurosurgery of Hospital Municipal Dr. Mário Gatti, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0002-6585-0108
Mariana Suemi Sukessada Faculty of Medicine of Pontifical Catholic University of Campinas - PUC, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0003-0015-984X
Gabriel Santaterra Barros Faculty of Medicine of Pontifical Catholic University of Campinas - PUC, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0001-6831-379X
João Fernando Cloclet Pio da Silva Faculty of Medicine of Pontifical Catholic University of Campinas - PUC, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0002-7093-2415
Bruna Franchito Freire Faculty of Medicine of Pontifical Catholic University of Campinas - PUC, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0001-6090-6347
Daniela Alves Gulhote Faculty of Medicine of Pontifical Catholic University of Campinas - PUC, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0003-2471-9709
Ana Beatriz Barbosa Piffer Faculty of Medicine of Pontifical Catholic University of Campinas - PUC, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0001-7928-3952
Hilton Mariano da Silva Junior Faculty of Medicine of Pontifical Catholic University of Campinas - PUC, Campinas, Sao Paulo, Brazil. https://orcid.org/0000-0002-9778-9946

DOI:

https://doi.org/10.48208/HeadacheMed.2022.35

Palavras-chave:

Aneurisma, Artéria carótida interna, Seio cavernoso, Oftalmoplegia dolorosa

Resumo

O seio cavernoso é um plexo venoso localizado na base do crânio. Várias patologias, como processos inflamatórios, aneurismáticos ou metastáticos, podem afetar esse plexo. A síndrome do seio cavernoso ocorre quando os nervos estão envolvidos nessa região (nervos cranianos III, IV, VI e divisões do V). Essas relações anatômicas explicam que a diplopia e a dor são os sintomas iniciais mais comuns nesses pacientes. Os aneurismas carotídeos cavernosos (CCAs) representam 2% a 9% dos aneurismas. Relatamos dois pacientes que apresentaram síndrome do seio cavernoso decorrente de aneurismas da artéria carótida. O reconhecimento da etiologia desse quadro clínico diferenciado é fundamental para evitar complicações e direcionar a melhor conduta para cada paciente.

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Cefaléia e disfunção de nervos cranianos secundários a aneurisma de artéria carótida: relato de dois casos e revisão da literatura

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