Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

The extracranial internal carotid artery aneurysm (EICAA) is an uncommon arterial lesion. Patients typically present with neurologic symptoms resulting from impaired cerebral perfusion and compression symptoms of cranial nerves. Often EICAA presents as a pulsatile neck mass, which is otherwise asymptomatic. We present a case of an 84-year-old female, who was initially referred to the Emergency Department for Otolaryngology with suspected peritonsillar abscess. The patient had a history of recent upper airway infection and cardiovascular comorbidities, including hypertension and ischaemic stroke complicated by extensive neurologic deficits. Physical examination revealed a compact, nonpulsatile mass in the lateral parapharyngeal space and local erythema of the mucosa. Duplex Doppler Ultrasonography and Computed Tomography revealed an atherosclerotic aneurysm of the right internal carotid artery, measuring63×55×88 mm, stretching from the skull base to the angle of the mandible.

Download Full-text

A Case of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2020.00017 ◽

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.

Download Full-text

Surgical Repair of Internal Carotid Artery Aneurysm: Case Report

Clinical Medicine Insights Case Reports ◽

10.1177/1179547621991893 ◽

2021 ◽

Vol 14 ◽

pp. 117954762199189

Author(s):

Nazım Kankılıç ◽

Mehmet Salih Aydın ◽

Mustafa Göz

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Cranial Nerves ◽

Artery Aneurysm ◽

Treatment Modalities ◽

Carotid Artery Aneurysm ◽

Internal Carotid Artery Aneurysm

Extracranial carotid artery aneurysms are extremely rare aneurysms. Treatment options are conventional open surgery, endovascular surgery, and conservative treatment. Surgical treatment of such aneurysms is challenging and it is important to determine the treatment strategies wisely. There is still no definite association for treatment modalities. In this case report, we present open surgical treatment of a 58-year-old female patient with internal carotid artery aneurysm. The patient was admitted to our clinic with spontaneous pulsatile mass in the right jugular region. Computed tomography angiography shown right internal carotid artery aneurysm. Aneurysm cranial distance was enough to perform end to end anastomosis. Aneurysm was excised by preserving cranial nerves. No complications developed during the postoperative period.

Download Full-text

Excision and End-to-End Anastomosis of a Giant Partially Thrombosed Cervical Internal Carotid Artery Aneurysm Mimicking a Neck Tumor: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opaa459 ◽

2021 ◽

Author(s):

Nickalus R Khan ◽

Ashish Shah ◽

Jacques J Morcos

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Head And Neck ◽

Internal Carotid ◽

Artery Aneurysm ◽

Neck Mass ◽

Vascular Surgeon ◽

Carotid Artery Aneurysm ◽

Internal Carotid Artery Aneurysm ◽

Cervical Internal Carotid Artery

Abstract Aneurysms of the cervical internal carotid artery (ICA) are a rare entity1,2 accounting for less than 0.2% to 0.5% of all carotid surgeries3 and less than 1% of all arterial aneurysms.4 There are several types of aneurysms, which include dissecting aneurysms, pseudoaneurysms, mycotic aneurysms, and fusiform and saccular aneurysms.5 The causes can include atherosclerosis, trauma, infection, and dysplasia. We present the case of a 70-yr-old otherwise healthy female found to have a neck mass. She was referred from a peripheral vascular surgeon to a head and neck surgeon for potential biopsy. The head and neck surgeon obtained vascular imaging and referred the patient to neurosurgery for definitive management. The patient gave informed consent for the procedure. An excision of the cervical ICA aneurysm and reanastomosis of the cervical ICA was performed. The patient remained neurologically intact postoperatively and imaging demonstrated complete aneurysm occlusion and a patent cervical ICA anastomosis. The patient gave verbal consent for this case to be published.

Download Full-text