Síndrome de Garcin causada por aneurisma gigante da artéria carótida interna

Plese, José Pindaro P.; Scaff, Milberto; Pereira, Walter Carlos; Zaclis, José

doi:10.1590/S0004-282X1974000100005

Resumos

É relatado caso de aneurisma gigante da artéria carótida interna esquerda, provocando síndrome de Garcin. O diagnóstico só pôde ser firmado mediante estudo angiográfico. A necropsia revelou aneurisma da artéria carótida interna com 5 cm por 4 cm, comprimindo todos os nervos cranianos esquerdos, exceto o primeiro, e aneurisma da região da artéria comunicante anterior.

A case of a large supra-clinoideal aneurysm of the left internal carotid artery involving from the second up to twelveth cranial nerves is reported. The patient, a 55-years-old white female, died 4 days after the angiographic study. The necropsy showed a giant aneurysm originated of the supraclinoideal left internal carotid artery, and an aneurysm of the anterior communicating artery.

Síndrome de Garcin causada por aneurisma gigante da artéria carótida interna

Garcin's syndrome caused by a giant aneurysm of the internal carotid artery: a case report

José Pindaro P. Plese^I; Milberto Scaff^II; Walter Carlos Pereira^II; José Zaclis^III

^IClínica Neurológica do Departamento de Neuropsiquiatria, Faculdade de Medicina da Universidade de São Paulo: Preceptor

^IIClínica Neurológica do Departamento de Neuropsiquiatria, Faculdade de Medicina da Universidade de São Paulo: Assistente-Doutor

^IIIClínica Neurológica do Departamento de Neuropsiquiatria, Faculdade de Medicina da Universidade de São Paulo: Assistente-Docente, Chefe do Setor de Neurorradiologia

RESUMO

É relatado caso de aneurisma gigante da artéria carótida interna esquerda, provocando síndrome de Garcin. O diagnóstico só pôde ser firmado mediante estudo angiográfico. A necropsia revelou aneurisma da artéria carótida interna com 5 cm por 4 cm, comprimindo todos os nervos cranianos esquerdos, exceto o primeiro, e aneurisma da região da artéria comunicante anterior.

SUMMARY

A case of a large supra-clinoideal aneurysm of the left internal carotid artery involving from the second up to twelveth cranial nerves is reported. The patient, a 55-years-old white female, died 4 days after the angiographic study. The necropsy showed a giant aneurysm originated of the supraclinoideal left internal carotid artery, and an aneurysm of the anterior communicating artery.

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Clínica Neurológica Faculdade de Medicina, Universidade de São Paulo Caixa Postal 3461 01000 São Paulo, SP Brasil.

1. ALAJOUANINE, R. La syntomatologie tumorale des volumineux aneurysmes des arteries vertebrales et basilares. Rev. neurol. (Paris) 80:321, 1948.
2. BULL, J. Massive aneurysms at the base of the brain. Brain 92:535, 1969.
3. BULL, J. W. D. Contributions of radiology to the study of intracranial aneurysms. Brith med. J. ii:1701, 1962.
4. CANELAS, H. M. & JULIÃO, O. F. Paralisias múltiplas de nervos encefálicos produzidas por neoplasias da base do crânio. Arq. Neuro-Psiquiat. (São Paulo) 19:185, 1961.
5. CUATICO, W.; COOK, A. W.; TYSHCHENKO, V. & ZHATIB, R. Massive enlargement of intracranial aneurysms following carotid ligation. Arch Neurol. (Chicago) 17:609, 1967.
6. DANDY, W. E. Intracranial arterial aneurysms in the carotid canal. Arch. Surg. (Chicago) 45:335, 1942.
7. DRAKE, C. G. Management of aneurysms of posterior circulation. InR. J. Yoummans Neurological Surgery. Saunders, Philadelphia, 1973, vol. 2, pp. 787-806.
8. DVORAK, M. & KLAUS, E. Schwierichkeiten in der Rötgendiagnostik und in der Behandlung von grossen intrakranialen sakulären Aneurysmen. Acta neu- rochir. (Wien) 15:182, 1966.
9. EPSTEIN, B. S. The roentgenographic aspects of thrombosis of aneurysms of the anterior communicating and anterior cerebral arteries. Amer. J. Roentgenol. 70:211, 1953.
10. HANDA, J.; KIKUCHI, H.; IWAYAMA, K.; TERAUDA, T. & HANDA, H. Traumatic aneurysms of the internal carotid artery. Acta neurochir. (Wien) 17:161, 1953.
11. HISKANNEN, O. & NIKKI, P. Large intracranial aneurysms. Acta neurol. Scand. 38:195, 1962.
12. HYLAND, H. H. & BARNETT, H. J. M. The pathogenesis of cranial nerve palsies associated with intracranial aneurysms. Proc. roy. Soc. Med. 47:141, 1954.
13. JAIN, K. K. Surgery of intracranial berry aneurysms: a review. Canada J. Surg. 8:172, 1965.
14. JEFFERSON, G. On the sacular aneurysms of the internal carotid artery in the cavernous sinus. British J. Surg. 26:267, 1938.
15. JEFFERSON, G. Chiasmal lesions produced by intracranial aneurysms. Arch. Neurol. Psychiat. (Chicago) 72:111, 1954.
16. JEFFERSON, G. Further concerning compression of the optic pathways by intracranial aneurysms. In:R. K. Thompson Clinical Neurosurgery. Willians & Wilkins, Baltimore, 1955, Vol. 1, p. 55.
17. KATF, N. Y. & TOTLOW, W. F. T. Two cases of vertebral aneurysms. Canad. Med. Ass. J. 92:471, 1965.
18. LE BEAU, J. & BILLET, R. Aneurysmes arteriels cerebrales. InEnciclopédie Médico-Chirurgicale, Neurologie, Vol. 5:7 49A-10, Paris, 1961.
19. LOCKSLEY, H. B. Report on the cooperative study of intracranial aneurysms and subaracnoid haemorrhage. Section 5, part 1 Natural history of subaracnoid haemorrhage, intracranial aneurysms and arterio-venous malformation. J. Neurosurg. 25:219, 1966.
20. LOCKSLEY, H. B. Report on the cooperative study of intracranial aneurysms and subaracnoid haemorrhage. Section 5, part 2 Natural history of subaracnoid haemorrhage, intracranial aneurysms and arterio-venous malformation. J. Neurosurg. 25:321, 1966.
21. LOUGHEED, W. M. & BARNETT, H. J. M. Lesions producing spontaneous haemorrhage. InR. J. Youmans Neurological Surgery. Saunders, Philadelphia, 1973, Vol. 2, pp. 709-723.
22. MASSACHUSETTS General Hospital Case records. New. Engl. J. Med. 271: 709, 1964.
23. MILLISER, R. V.; GREENBERG, S. R. & NEIMAN, B. H. Congenital or berry aneurysms in the optic nerve. J. Clin. Path. 21:335, 1968.
24. MORLEY, T. P. Giant intracranial aneurysms: diagnosis, course and management. InR. G. Ojemann Clinical Neurosurgery. Willians & Wilkins, Baltimore, 1969, vol. 16, pp. 73-94.
25. POOL, J. L. & POTTS, D. G. Aneurysms and Arteriovenous Anomalies of the Brain. Harper & Row Publishers, New York, 1965.
26. SADIK, A. R.; BUDZILOVICH, G. N. & SHULMAN, K. Giant aneurysms of the middle cerebral artery. A case report. J. Neurosurg. 22:177, 1965.
27. SCHUNK, H. Spontaneous thrombosis of intracranial aneurysms. Am. J. Roentgen 41:327, 1964.
28. STEHBENS, W. E. Intracranial arterial aneurysms. Aust. Ann. Med. 3:214, 1954.
29. STEHBENS, W. E. Pathology of Cerebral Vessels. Mosby, Saint Louis, 1972, pp. 351-470.
30. WALSH, F. B. & KING, A. B. Ocular signs of intracranial saccular aneurysms. Arch. Ophthal. (Chicago) 27:1, 1952.
31. WALTON, J. N. Subaracnoid Haemorrhage. E. & Livingstone, Edinburgo, 1956.
32. WHITE, J. C. & ADAMS, R. D. Combined supra and infraclinoid aneurysms of internal carotid artery. J. Neurosurg. 12:50, 1955.
33. WHITE, J. C. & BALLANTINE, H. T. Intraselar aneurysm simulating hypophyseal tumor. J. Neurosurg. 18:34, 1961.
34. YOUNG, G. & FATTAL, G. A. Arteriosclerotic aneurysms of the middle cerebral artery. Canada med. Ass. J. 89:720, 1963.

Datas de Publicação

Publicação nesta coleção
16 Abr 2013
Data do Fascículo
Mar 1974

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ALAJOUANINE, R. La syntomatologie tumorale des volumineux aneurysmes des arteries vertebrales et basilares. Rev. neurol. (Paris) 80:321, 1948.

[2] 2. BULL, J. Massive aneurysms at the base of the brain. Brain 92:535, 1969.

[3] 3. BULL, J. W. D. Contributions of radiology to the study of intracranial aneurysms. Brith med. J. ii:1701, 1962.

[4] 4. CANELAS, H. M. & JULIÃO, O. F. Paralisias múltiplas de nervos encefálicos produzidas por neoplasias da base do crânio. Arq. Neuro-Psiquiat. (São Paulo) 19:185, 1961.

[5] 5. CUATICO, W.; COOK, A. W.; TYSHCHENKO, V. & ZHATIB, R. Massive enlargement of intracranial aneurysms following carotid ligation. Arch Neurol. (Chicago) 17:609, 1967.

[6] 6. DANDY, W. E. Intracranial arterial aneurysms in the carotid canal. Arch. Surg. (Chicago) 45:335, 1942.

[7] 7. DRAKE, C. G. Management of aneurysms of posterior circulation. InR. J. Yoummans Neurological Surgery. Saunders, Philadelphia, 1973, vol. 2, pp. 787-806.

[8] 8. DVORAK, M. & KLAUS, E. Schwierichkeiten in der Rötgendiagnostik und in der Behandlung von grossen intrakranialen sakulären Aneurysmen. Acta neu- rochir. (Wien) 15:182, 1966.

[9] 9. EPSTEIN, B. S. The roentgenographic aspects of thrombosis of aneurysms of the anterior communicating and anterior cerebral arteries. Amer. J. Roentgenol. 70:211, 1953.

[10] 10. HANDA, J.; KIKUCHI, H.; IWAYAMA, K.; TERAUDA, T. & HANDA, H. Traumatic aneurysms of the internal carotid artery. Acta neurochir. (Wien) 17:161, 1953.

[11] 11. HISKANNEN, O. & NIKKI, P. Large intracranial aneurysms. Acta neurol. Scand. 38:195, 1962.

[12] 12. HYLAND, H. H. & BARNETT, H. J. M. The pathogenesis of cranial nerve palsies associated with intracranial aneurysms. Proc. roy. Soc. Med. 47:141, 1954.

[13] 13. JAIN, K. K. Surgery of intracranial berry aneurysms: a review. Canada J. Surg. 8:172, 1965.

[14] 14. JEFFERSON, G. On the sacular aneurysms of the internal carotid artery in the cavernous sinus. British J. Surg. 26:267, 1938.

[15] 15. JEFFERSON, G. Chiasmal lesions produced by intracranial aneurysms. Arch. Neurol. Psychiat. (Chicago) 72:111, 1954.

[16] 16. JEFFERSON, G. Further concerning compression of the optic pathways by intracranial aneurysms. In:R. K. Thompson Clinical Neurosurgery. Willians & Wilkins, Baltimore, 1955, Vol. 1, p. 55.

[17] 17. KATF, N. Y. & TOTLOW, W. F. T. Two cases of vertebral aneurysms. Canad. Med. Ass. J. 92:471, 1965.

[18] 18. LE BEAU, J. & BILLET, R. Aneurysmes arteriels cerebrales. InEnciclopédie Médico-Chirurgicale, Neurologie, Vol. 5:7 49A-10, Paris, 1961.

[19] 19. LOCKSLEY, H. B. Report on the cooperative study of intracranial aneurysms and subaracnoid haemorrhage. Section 5, part 1 Natural history of subaracnoid haemorrhage, intracranial aneurysms and arterio-venous malformation. J. Neurosurg. 25:219, 1966.

[20] 20. LOCKSLEY, H. B. Report on the cooperative study of intracranial aneurysms and subaracnoid haemorrhage. Section 5, part 2 Natural history of subaracnoid haemorrhage, intracranial aneurysms and arterio-venous malformation. J. Neurosurg. 25:321, 1966.

[21] 21. LOUGHEED, W. M. & BARNETT, H. J. M. Lesions producing spontaneous haemorrhage. InR. J. Youmans Neurological Surgery. Saunders, Philadelphia, 1973, Vol. 2, pp. 709-723.

[22] 22. MASSACHUSETTS General Hospital Case records. New. Engl. J. Med. 271: 709, 1964.

[23] 23. MILLISER, R. V.; GREENBERG, S. R. & NEIMAN, B. H. Congenital or berry aneurysms in the optic nerve. J. Clin. Path. 21:335, 1968.

[24] 24. MORLEY, T. P. Giant intracranial aneurysms: diagnosis, course and management. InR. G. Ojemann Clinical Neurosurgery. Willians & Wilkins, Baltimore, 1969, vol. 16, pp. 73-94.

[25] 25. POOL, J. L. & POTTS, D. G. Aneurysms and Arteriovenous Anomalies of the Brain. Harper & Row Publishers, New York, 1965.

[26] 26. SADIK, A. R.; BUDZILOVICH, G. N. & SHULMAN, K. Giant aneurysms of the middle cerebral artery. A case report. J. Neurosurg. 22:177, 1965.

[27] 27. SCHUNK, H. Spontaneous thrombosis of intracranial aneurysms. Am. J. Roentgen 41:327, 1964.

[28] 28. STEHBENS, W. E. Intracranial arterial aneurysms. Aust. Ann. Med. 3:214, 1954.

[29] 29. STEHBENS, W. E. Pathology of Cerebral Vessels. Mosby, Saint Louis, 1972, pp. 351-470.

[30] 30. WALSH, F. B. & KING, A. B. Ocular signs of intracranial saccular aneurysms. Arch. Ophthal. (Chicago) 27:1, 1952.

[31] 31. WALTON, J. N. Subaracnoid Haemorrhage. E. & Livingstone, Edinburgo, 1956.

[32] 32. WHITE, J. C. & ADAMS, R. D. Combined supra and infraclinoid aneurysms of internal carotid artery. J. Neurosurg. 12:50, 1955.

[33] 33. WHITE, J. C. & BALLANTINE, H. T. Intraselar aneurysm simulating hypophyseal tumor. J. Neurosurg. 18:34, 1961.

[34] 34. YOUNG, G. & FATTAL, G. A. Arteriosclerotic aneurysms of the middle cerebral artery. Canada med. Ass. J. 89:720, 1963.