scholarly journals Gargantuan internal carotid artery aneurysm—a surgical challenge

2021 ◽  
Author(s):  
Ashutosh Kumar Pandey ◽  
Shivanesan Pitchai ◽  
Harishankar Ramachandran Nair ◽  
P M Vineeth Kumar
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Thromboembolic Event ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of

Abstract Extracranial carotid artery aneurysms are a rarely reported entity. Here, we describe an unusually large internal carotid artery aneurysm in a 76-year-old female, with progressive enlargement and history of thromboembolic event. She was managed successfully with an open repair and common carotid artery to internal carotid artery bypass.

scholarly journals A Case of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

2020 ◽  
Vol 63 (10) ◽  
pp. 479-483
Author(s):  
Jun Young Lee ◽  
Juho Han ◽  
Bumjung Park ◽  
Jee Hye Wee
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Neck Mass ◽  
Peritonsillar Abscess ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Uncommon Disease

Extracranial carotid artery aneurysm is an uncommon disease that otorhinolaryngologists may encounter only rarely. It usually presents as pulsatile neck mass or as other neurologic symptoms. We report a case of extracranial internal carotid artery aneurysm in an 81-year old female who presented with a fever and nonpulsatile oropharyngeal swelling mimicking a peritonsillar abscess. Incision and drainage of the swelling lesion could have resulted in catastrophic events such as aneurismal rupture or a stroke. We thus recommend radiologic evaluations of peritonsillar abscess before performing any procedure, even if it is clinically highly suspicious.

scholarly journals Surgical management of Giant paraclinoid internal carotid artery aneurysm management in Endovascular era

2021 ◽  
Vol 18 (1) ◽  
pp. 61-65
Author(s):  
Prabhat Jha ◽  
Binit kumar Jha ◽  
Manoj Bohara ◽  
Rajiv Jha ◽  
Prakash Bista
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Temporal Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

Giant aneurysms are lesions with diameter greater than or equal to 25 mm. They are uncommon lesions presenting with features of mass effect and rarely rupture. Diagnosis confirmed on angiography. This case describes a young female with giant paraclinoid internal carotid artery aneurysm. The patient was managed with superficial temporal artery to middle cerebral artery bypass with aneurysm trapping. Keywords Giant aneurysm, STA-MCA bypass, aneurysm trapping    

Internal carotid artery aneurysm presenting as orofacial pain

2012 ◽  
Vol 126 (8) ◽  
pp. 851-853 ◽  
Author(s):  
S J Stone ◽  
V Paleri ◽  
K S Staines
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Orofacial Pain ◽  
Artery Aneurysm ◽  
Interdisciplinary Management ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of ◽  
Occipital Headache

AbstractObjectives:We report a case of an internal carotid artery aneurysm presenting as orofacial pain.Method:Case report and discussion.Results:A 59-year-old patient presented with a four-year history of chronic oral pain accompanied by a right-sided occipital headache. No local organic pathology was detected, and a provisional diagnosis of persistent idiopathic facial pain was made. A neurosurgery referral was made to exclude neurovascular pathology, which resulted in the detection of an aneurysm originating from the right posterior communicating artery. This was successfully treated by coil embolisation, with subsequent resolution of symptoms.Conclusion:In this patient, an atypical history of pain with no other neurological signs or symptoms, other than accompanying occipital headache, led to the discovery of an intracranial aneurysm. This case highlights the need for appropriate referral and imaging in cases in which the clinical history and findings are not classical, and also emphasises the need for interdisciplinary management.

Repair of a true extracranial internal carotid artery aneurysm with transposition surgery in a pediatric patient: A rare case

Vascular ◽  
2019 ◽  
Vol 27 (5) ◽  
pp. 475-478
Author(s):  
Fatih Ada ◽  
Vural Polat
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Connective Tissue Diseases ◽  
Artery Aneurysm ◽  
Etiologic Factor ◽  
Left Internal Carotid Artery ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

Objectives Atherosclerosis is the most common etiologic factor for extracranial carotid artery aneurysm in adults, while in childhood, connective tissue diseases, peritonsillar abscess and infections are the most common. Congenital carotid artery aneurysms are rarely reported in the literature. Methods We present a 10-year-old girl with congenital extracranial left internal carotid artery aneurysm and the treatment management. Results Computed tomography angiography at six months showed that internal carotid artery segments were normal. There was no obstruction or aneurysm recurrence. Conclusions Although extracranial carotid artery aneurysms are rare, they can cause complications such as rupture and thromboembolism with high mortality and morbidity. Therefore, the treatment of extracranial carotid artery aneurysms is recommended.

Spontaneous rupture of an intra-cavernous internal carotid artery aneurysm presenting with massive epistaxis

2011 ◽  
Vol 125 (10) ◽  
pp. 1070-1072 ◽  
Author(s):  
A Davies ◽  
O Dale ◽  
S Renowden
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Treatment Method ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of ◽  
Cavernous Carotid Artery ◽  
Endovascular Coils

AbstractObjective:We report a rare case of epistaxis resulting from a ruptured internal carotid artery aneurysm, and present a successful treatment method.Case report:A 72-year-old woman was admitted following recurrent massive epistaxis. There was no history of trauma or surgery. Radiographic imaging demonstrated a large internal carotid artery aneurysm. An attempt was made to occlude the aneurysm with endovascular coils. Despite this, the patient went on to have further epistaxis. Endovascular ablation of the feeding internal carotid artery led to complete resolution.Conclusion:This case demonstrates that spontaneous epistaxis from intra-cavernous carotid artery aneurysms can be managed using endovascular techniques. To our knowledge, we report the first use of interventional radiological techniques to assess the collateral circulation to the brain and subsequently undertake endovascular ablation of the internal carotid artery.

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