Performance of Electroconvulsive Therapy in a Patient with Clipping (Yasargil Titanium Clip) of an Aneurysm of the Internal Carotid Artery without Vascular Complications

Ehlers-Danlos syndrome (EDS) type IV, also known as vascular EDS, is an inherited connective tissue disorder with an estimated prevalence of 1/100,000 to 1/250,000. In EDS type IV, vascular complications may affect all anatomical areas, with a preference for large- and medium-sized arteries. Dissections of the vertebral and carotid arteries in their extra- and intra-cranial segments are typical. The authors report the case of a patient with EDS type IV for whom the diagnosis was established based on clinical signs and who developed internal carotid artery dissection at the age of 44 years. In the absence of a specific treatment for EDS type IV, medical interventions should focus on symptomatic relief, prophylactic measures, and genetic counseling. Invasive imaging techniques are contraindicated, and a conservative approach to vascular complications is usually recommended.

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Microvascular doppler associated with neuronavigation to intraoperative identification and location of internal carotid artery in transsphenoidal endoscopic pituitary macroadenomas surgery

JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA ◽

10.22290/jbnc.v24i1.1273 ◽

2018 ◽

Vol 24 (1) ◽

pp. 27-32

Author(s):

André Giacomelli Leal ◽

Pedro Vanhazebrouck ◽

Lucas Alves Aurich ◽

Gustavo Nogueira De Oliveira ◽

Vanessa Rizelio ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Vascular Complications ◽

Vascular Diseases ◽

Neuronavigation System ◽

Anatomical Localization ◽

Doppler Techniques ◽

Transsphenoidal Endoscopic Surgery ◽

Pituitary Macroadenomas

Context: Enhancements in pulsed doppler techniques have made easier to apply those techniques not only to diagnose brain vascular diseases but also in brain surgery, especially to disclose arteries close to tumors and avoid their manipulation. The aim of this paper is to describe the technique of microvascular doppler associated with neuronavigation in transsphenoidal endoscopic surgery to remove pituitary macroadenomas in three patients. Material And Methods: A sterile 2mm 16-MHz probe was used inside a long curved canula of 17 cm length, attached with a neuronavigation reference. The neuronavigation mapping was done with MRI and angiotomography, which took place 24 hours before the procedure. Results: Intraoperatively, the doppler identified arterial flow compatible with the anatomical localization of the cavernous portion of internal carotid artery, as shown by the neuronavigation system, and this place was avoided during surgery, allowing manipulation of the tumor without risk of damage to the internal carotid artery. The results after surgery were total removal of the tumor in all three cases. No postoperative vascular complications were present. Conclusion: The method with microvascular doppler associated with neuronavigation was essential to the intraoperative vascular diagnosis allowing radical tumoral resections while preventing damage to the internal carotid artery.

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Infectious Pseudoaneurysm of the Internal Carotid Artery in a Child Secondary to Parapharyngeal Abscess

Ear Nose & Throat Journal ◽

10.1177/0145561320984582 ◽

2021 ◽

pp. 014556132098458

Author(s):

Christian Davidson ◽

Cheryl Holihan ◽

Rafael de Oliveira Sillero ◽

Kenneth Lee ◽

Ron B. Mitchell ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Vascular Complications ◽

Rare Condition ◽

Left Internal Carotid Artery ◽

Parapharyngeal Abscess ◽

Infectious Focus ◽

Coil Occlusion ◽

History Of

Infectious pseudoaneurysm is a rare condition characterized by arterial wall dilation, usually due to an adjacent infectious focus. We present an 8-year-old male with a 3-day history of progressive, severe headache 2 weeks after treatment for a parapharyngeal abscess. Computed tomography revealed a left internal carotid artery (ICA) pseudoaneurysm inferior to the skull base and a small parapharyngeal abscess inferior to the pseudoaneurysm. The patient was admitted for intravenous antibiotic treatment and underwent transfemoral endovascular coil occlusion of the cervical ICA pseudoaneurysm without complications. We discuss the presentation and management of rare vascular complications of parapharyngeal abscesses involving major arteries of the neck and the role of neurointerventional embolization in these cases.

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Responses of extra- and intracranial segments of internal carotid artery to pharmacologically induced vasodilation L. Niehaus, L. Hahn, G. B�ckeler. Department of Neurology, Virchow-Klinik, Charit�, Humboldt-University, Berlin, Germany

European Journal of Ultrasound ◽

10.1016/s0929-8266(97)90134-8 ◽

1997 ◽

Vol 5 ◽

pp. 56

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Humboldt University

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Power And Colour Doppler Sonography in Investigation Of the Pathological Kinking of Internal Carotid Artery

European Journal of Ultrasound ◽

10.1016/s0929-8266(97)87229-1 ◽

1997 ◽

Vol 6 ◽

pp. S17-S18

Author(s):

I Gerasimenko

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Doppler Sonography ◽

Internal Carotid ◽

Colour Doppler Sonography ◽

Colour Doppler

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Pseudoaneurysm of the left internal carotid artery following tonsillectomy

VASA ◽

10.1024/0301-1526/a000153 ◽

2011 ◽

Vol 40 (6) ◽

pp. 491-494 ◽

Cited By ~ 4

Author(s):

Vávrová ◽

Slezácek ◽

Vávra ◽

Karlová ◽

Procházka

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Rare Complication ◽

Left Internal Carotid Artery ◽

Acute Tonsillitis ◽

Artery Pseudoaneurysm ◽

Complete Occlusion ◽

Endovascular Approach ◽

Deep Neck Infections

Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.

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