[Cavernous sinus aneurysms. Treatment and evolution].

CASE REPORT: Two clinical cases of painful ophthalmoplegia from a cavernous sinus syndrome induced by carotid intracavernous aneurysm are presented. Two women presenting similar clinical patterns: total restriction of ocular movements, pthosis, alterations in the pupil and intense cephalalgia of sudden onset. Carotid aneurysms were found to be responsible for these clinical patterns. A carotid embolization was performed in one of the cases while a <<wait and see>> attitude was adopted for the other.

DISCUSSION: Both cases showed similar favorable evolution, after a follow up period of one year. We concluded that in these cases a close collaboration with other specialties is required in order to adopt the most adequate therapeutic option.