Cerebrovascular Disorders Associated with von Recklinghausen's Neurofibromatosis: A Case Report

Neurosurgery ◽  
1988 ◽  
Vol 22 (3) ◽  
pp. 544-549 ◽  
Author(s):  
Eiji Sobata ◽  
Hiroki Ohkuma ◽  
Shigeharu Suzuki

Abstract A 28-year-old woman with von Recklinghausen's neurofibromatosis (NF-1) had a huge hematoma in the left posterior nuchal region. Carotid and vertebral angiograms revealed marked stenosis at the C3 portion of the left internal carotid artery, slight moyamoya staining, occlusion of the left vertebral artery at the atlas level, and a right internal carotid artery aneurysm. The radiographic, clinical, and histological features of this case are discussed together with a review of 42 similar cases found in the literature. (Neurosurgery 22:544-549, 1988)

2005 ◽  
Vol 120 (2) ◽  
pp. 1-3 ◽  
Author(s):  
Bruno Sergi ◽  
Vittorio Alberti ◽  
Gaetano Paludetti ◽  
Francesco Snider

Aneurysms of the extracranial portion of the internal carotid artery are rare. Generally, they occur just at the level of, or above, the bifurcation. Here we report a case of a left internal carotid artery aneurysm presenting as an oropharyngeal mass causing dysphagia.


2014 ◽  
Vol 43 (2) ◽  
pp. 103-105
Author(s):  
Md Jahangir Alam ◽  
Sukriti Das ◽  
AM Rejaus Satter ◽  
Md Hafizur Rahman ◽  
Ehsan Mahmud

Tuberous sclerosis is an autosomal dominant hereditary condition with many varied forms of clinical presentation. The most frequent cutaneous findings in tuberous sclerosis include multiple angiofibromas, hypopigmented macules, periungual fibromas and shagreen patch. It is characterized by the development of hamartomatous growths in many organs. We present a case of tuberous sclerosis with a giant left internal carotid artery aneurysm causing pulsatile proptosis, left sided ptosis, anisocoria and papillary mydriasis indicative of left third cranial nerve palsy. DOI: http://dx.doi.org/10.3329/bmj.v43i2.21393 Bangladesh Med J. 2014 May; 43 (2): 103-105


Vascular ◽  
2019 ◽  
Vol 27 (5) ◽  
pp. 475-478
Author(s):  
Fatih Ada ◽  
Vural Polat

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.


2020 ◽  
Vol 92 (5) ◽  
pp. 1-5
Author(s):  
Adam Lipowski ◽  
Sleiman Aboul-Hassan ◽  
Zbigniew Krasiński ◽  
Konrad Woronowicz

In the current case report we present a novel case of a successful coil embolization of the left internal carotid artery aneurysm. Patient presented with neck pain and a palpable pulsating tumor was admitted to the vascular surgery clinic where neck Angio-CT scan was performed. Angio-CT revealed left internal carotid artery aneurysm with a narrow neck. Patient was admitted to the department of vascular surgery where the patient was enrolled into endovascular coil embolization. After the procedure, control angiography showed complete embolization of the aneurysm. Three months following the procedure, doppler ultrasonography of the carotid arteries showed no demonstrable flow into the aneurysm. Six months following the procedure, angio-CT confirmed complete aneurysm thrombosis. Based on this case, endovascular coil embolization of the carotid artery aneurysms is safe and effective method of treatment. Keywords: tumor, aneurysm, coile.


2011 ◽  
Vol 1 ◽  
pp. 60 ◽  
Author(s):  
Lale Paşaoğlu ◽  
Murat Vural ◽  
İpek Ziraman ◽  
Sadιk Ahmet Uyanιk

Agenesis of the internal carotid artery (ICA) is a rare congenital anomaly. Most of the patients are asymptomatic and it is usually discovered incidentally by computed tomography (CT) or magnetic resonance imaging (MRI). There is close association of the cranial aneurysms and subarachnoid hemorrhage with ICA agenesis. We present a case of a 61-year-old male with left ICA agenesis associated with basilar artery and left vertebral artery aneurysms. The patient complained of headaches and numbness on the right-side of the face. Physical examination showed high blood pressure (210/90 mmHg). Neurological examination revealed nystagmus and decreased sensation on the right-side of the face. Agenesis of left ICA, left carotid canal with basilar and left vertebral artery aneurysms were demonstrated incidentally using CT, MRI, and digital subtraction angiography, as a part of an evaluation for suspected cerebrovascular accident.


Neurosurgery ◽  
2016 ◽  
Vol 79 (5) ◽  
pp. E634-E638 ◽  
Author(s):  
Marcus D. Mazur ◽  
Philipp Taussky ◽  
Joel D. MacDonald ◽  
Min S. Park

Abstract BACKGROUND AND IMPORTANCE: As the use of flow-diverting stents (FDSs) for intracranial aneurysms expands, a small number of case reports have described the successful treatment of blister aneurysms of the internal carotid artery with flow diversion. Blister aneurysms are uncommon and fragile lesions that historically have high rates of morbidity and mortality despite multiple treatment strategies. We report a case of rebleeding after treatment of a ruptured blister aneurysm with deployment of a single FDS. CLINICAL PRESENTATION: A 29-year-old man presented with subarachnoid hemorrhage and a ruptured dorsal variant internal carotid artery aneurysm. Despite a technically successful treatment with a single FDS, a second catastrophic hemorrhage occurred during the course of his hospitalization. CONCLUSION: This case highlights the risk of hemorrhage during the period after deployment of a single FDS. Ruptured aneurysms, especially of the blister type, are at risk for rehemorrhage while the occlusion remains incomplete after flow diversion.


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