Endovascular treatment of a Mycotic Intracavernous carotid artery aneurysm using a Stent Graft

rysms are rare and management is determined by clinical presentation. We describe the first documented proximal intracranial mycotic an-eurysm treated by a balloon expandable Aneu-graft PCS covered stent. An 11-year-old female child presented with acute onset fever, headache, chemosis followed by diplopia, right-sided pto-sis with ophthalmoplegia. Magnetic resonance imaging revealed bilateral cavernous sinus thrombosis. Subsequent work-up included serial computed tomographic arteriography and digit-al subtraction angiography which revealed a progressively enlarging intracavernous carotid aneurysm. An Aneugraft PCS covered stent was successfully deployed endovascularly, and com-plete exclusion of the aneurysm was achieved while maintaining the patency of the parent ar-tery. The use of covered stents in intracranial vasculature can be an effective and safe treat-ment modality for exclusion of the mycotic an-eurysm in selected cases