Intraorbital rupture of a cavernous internal carotid artery aneurysm: therapeutic options.

Purpose: To describe the use of an endovascular therapeutic technique in the management of a giant carotid cavernous aneurysm. Methods: We reviewed the clinical and neuroradiologic findings of a patient with an unusual case of carotid cavernous aneurysm and intraorbital rupture. The medical literature was searched for similar cases and to review the use of endovascular techniques. Results: The patient was treated by balloon occlusion of the left internal carotid artery. Conclusions: Endovascular techniques can be used to treat complex giant cranioorbital cavernous aneurysms.