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Fig 2. Patient 9. Ruptured right cavernous sinus aneurysm in a 74-year-old woman with bilateral exophthalmus, ophthalmoplegia, and decreased vision.
A and B, Frontal (A) and lateral (B) view of right internal carotid artery angiogram. Principal venous drainage to both cavernous sinuses and superior ophthalmic veins. There is some cortical venous drainage.
C and D, Arterial (C) and venous (D) phase of left internal carotid angiogram during test occlusion of the right internal carotid artery. Synchronous opacification of cortical veins in both hemispheres indicates tolerance to permanent occlusion.5
E, Occlusion of the ruptured aneurysm, including the internal carotid artery, with coils.
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