Cavernous carotid aneurysms: To treat or not to treat?

Christopher S. Eddleman, Michael C. Hurley, Bernard R. Bendok, H. Hunt Batjer

Research output: Contribution to journalReview articlepeer-review

40 Scopus citations


Most cavernous carotid aneurysms (CCAs) are considered benign lesions, most often asymptomatic, and to have a natural history with a low risk of life-threatening complications. However, several conditions may exist in which treatment of these aneurysms should be considered. Several options are currently available regarding the management of CCAs with resultant good outcomes, namely expectant management, luminal preservation strategies with or without addressing the aneurysm directly, and Hunterian strategies with or without revascularization procedures. In this article, we discuss the sometimes difficult decision regarding whether to treat CCAs. We consider the natural history of several types of CCAs, the clinical presentation, the current modalities of CCA management and their outcomes to aid in the management of this heterogeneous group of cerebral aneurysms.

Original languageEnglish (US)
Pages (from-to)1-20
Number of pages20
JournalNeurosurgical focus
Issue number5
StatePublished - 2009


  • Cavernous carotid aneurysm
  • Endovascular therapy
  • Microsurgery
  • Vascular surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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