Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


These symptoms are due, in the majority of cases, to an aneurysmal varix
of the internal carotid artery and cavernous sinus, which is often
traumatic in origin, being produced either by fracture of the base of
the skull or by a punctured wound of the orbit. In other cases they are
due to aneurysm of the ophthalmic artery, to thrombosis of the cavernous
sinus, and, in rare instances, to cirsoid aneurysm.


If compression of the common carotid is found to arrest the pulsation,
ligation of this vessel is indicated.

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