scholarly journals Pseudoaneurysm Formation following Intrasphenoid Rupture of an Idiopathic Intracavernous Carotid Artery Aneurysm: Coil Migration and Early Recurrence after Endovascular Treatment

2010 ◽  
Vol 16 (4) ◽  
pp. 442-446 ◽  
Author(s):  
R. De Blasi ◽  
E. Bracciolini ◽  
L. Chiumarulo ◽  
A. Salvati ◽  
C. Monetti ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Sphenoid Sinus ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Early Recurrence ◽  
Traumatic Aneurysm ◽  
Pseudoaneurysm Formation ◽  
Carotid Artery Aneurysm ◽  
The Right

Intrasphenoid rupture of a non-traumatic aneurysm of the cavernous carotid artery is rare. We describe a patient in whom this condition manifested with epistaxis and led to the formation of a pseudoaneurysm occupying the right sphenoid sinus. The lesion recurred after repeated attempts at conservative endovascular therapy. Eventually the patient was treated with endovascular occlusion of the right internal carotid artery. Our report emphasizes the relapsing behaviour of a non-traumatic aneurysm of the cavernous portion of the internal carotid artery ruptured into the sphenoid sinus.

scholarly journals Surgical treatment of a carotid artery aneurysm associated with kinking: A case report and review of literature

2017 ◽  
Vol 145 (11-12) ◽  
pp. 643-645
Author(s):  
Predrag Matic ◽  
Mihailo Neskovic ◽  
Dragoslav Nenezic ◽  
Slobodan Tanaskovic ◽  
Srdjan Babic ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Medial Segment ◽  
End To End ◽  
One Year ◽  
The Right

Introduction. An extracranial carotid artery aneurysm is a rare clinical entity with potentially debilitating consequences. Our aim is to present a case of a large internal carotid artery aneurysm combined with medial internal carotid artery (ICA) kinking successfully treated by resection with an end-to-end anastomosis. Case outline. A 34-year-old female patient was admitted to our hospital due to dizziness and frequent non-specific headaches. On admission, routine echocardiography showed an aneurysm of the atrial septum. Multislice computed tomography of the supraaortic branches showed medial kinking of the right ICA with a 15 mm aneurysm localized on the vertex of the angulation. Kinking was present on the left ICA as well, with a small aneurysm of 5 mm in diameter. The right ICA aneurysm was resected and the artery was reconstructed with an end-to-end anastomosis. The postoperative course was uneventful and the patient was symptom-free after a one-year follow-up. Conclusion. We showed that surgery of an aneurysm and kinking of the carotid artery in the medial segment of the ICA is possible and safe to perform. Detailed preoperative preparation, precise surgical technique, and short clamping time all contributed to a good final outcome.

Planned Intracranial Revascularization before Proximal Ligation for Traumatic Aneurysm

Neurosurgery ◽  
1979 ◽  
Vol 5 (2) ◽  
pp. 254-258 ◽  
Author(s):  
Jack M. Fein ◽  
Eugene Flamm
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Traumatic Aneurysm ◽  
Artery Ligation ◽  
Carotid Artery Aneurysm ◽  
Carotid Artery Ligation ◽  
Internal Carotid Artery Aneurysm ◽  
Proximal Internal Carotid Artery

Abstract Proximal internal carotid artery aneurysm may be treated successfully with internal carotid artery ligation. If this is not tolerated because of ischemic insufficiency, an alternative strategy is possible. This consists of extracranial-intracranial bypass to increase the collateral circulation and perfusion pressure in the ipsilateral cerebral hemisphere before ligation. Experience with two cases is presented to show that such an approach is feasible.

scholarly journals An internal carotid artery aneurysm presenting with dysarthria

2013 ◽  
Vol 95 (7) ◽  
pp. e6-e8 ◽  
Author(s):  
PT Davey ◽  
I Rychlik ◽  
M O’Donnell ◽  
R Baker ◽  
I Rennie
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Carotid Bifurcation ◽  
Balloon Occlusion ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Pulsatile Mass ◽  
The Right

A 72-year-old woman presented to her general practitioner with a 4-week history of right neck swelling. Clinical examination elicited a pulsatile mass consistent with a carotid artery aneurysm. Five days later the patient noticed her tongue movements had become awkward with associated dysarthria. Computed tomography confirmed a 4cm internal carotid artery aneurysm arising just distally to the carotid bifurcation. She proceeded to transfemoral diagnostic carotid angiography. Balloon occlusion of the right internal carotid artery origin was performed for a ten-minute period without any neurological deficit. The decision was taken to proceed to surgical ligation of the origin of the internal carotid artery. Her symptoms of dysarthria have resolved.

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