scholarly journals Carotid body tumour: an enigma that remains

2019 ◽  
Vol 5 (2) ◽  
pp. 479
Author(s):  
Rachel C. A. Lim ◽  
Jeyasakthy Saniasiaya ◽  
Rohaizam Bin Japar Jaafar ◽  
Zakinah Bt Yahaya ◽  
Iskandar B. Hailani
Keyword(s):  
Carotid Body ◽  
Thromboembolic Event ◽  
Anatomical Variation ◽  
Surgical Excision ◽  
Vascular Supply ◽  
External Carotid Artery ◽  
Definitive Treatment ◽  
External Carotid ◽  
Carotid Body Tumour ◽  
Rare Presentation

<p class="abstract">Carotid body tumour is a form of paraganglioma which arises from the carotid body. This tumour is known for its rich vascular supply mainly contributed by the ascending pharyngeal artery, a branch from external carotid artery. Surgical excision preceded by pre-operatic embolization remains the definitive treatment despite the countless feared complications. We present our experience with a case of carotid body tumour which was embolised prior to surgical excision, unfortunately complicated with a thromboembolic event. This patient was found to have an anatomical variation in the cerebrovascular anatomy known as a fetal posterior cerebral artery which led to a paradoxical PCA infarction post-embolization. We would like to highlight this rare presentation along with its management as there were scarce evidence of this case in the literature.</p>

Cervical ganglioneuroma mimicking a carotid body tumour

2020 ◽  
Vol 13 (12) ◽  
pp. e238469
Author(s):  
Alexandra G Britten ◽  
Payam Entezami ◽  
Brent A Chang
Keyword(s):  
Carotid Body ◽  
Surgical Excision ◽  
Neck Mass ◽  
Care Physician ◽  
External Carotid ◽  
Carotid Body Tumour ◽  
Intravenous Contrast ◽  
Level Ii ◽  
History Of ◽  
The Right

A 30-year-old woman was referred to the ear, nose and throat clinic by her primary care physician for a 10-year history of an asymptomatic, large, right-sided neck mass. On examination, the patient had a palpable, non-tender, five-by-four centimetre, mobile, right-sided level II neck mass. CT scan with intravenous contrast showed an enhancing mass with multiple fluid cavities, splaying the external carotid and internal carotid arteries, concerning for a carotid body tumour. Patient was then referred to interventional radiology for angiography and embolisation prior to definitive surgical excision. However, when the mass was then excised surgically, final pathology identified the mass as a ganglioneuroma. Patient recovered well postoperatively with some ptosis of the right eye and symptoms consistent with first bite syndrome, treated with conservative measures.

Transvenous Coil Embolization of a Transverse-Sigmoid Sinus Dural Arteriovenous Fistula: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Santiago Gomez-Paz ◽  
Yosuke Akamatsu ◽  
Mohamed M Salem ◽  
Justin M Moore ◽  
Ajith J Thomas ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Arteriovenous Fistula ◽  
Coil Embolization ◽  
Dural Arteriovenous Fistula ◽  
External Carotid Artery ◽  
Sigmoid Sinus ◽  
Definitive Treatment ◽  
External Carotid ◽  
Type I ◽  
Patient Consent

Abstract This case is a 66-yr-old woman with a 2-mo history of left-sided tinnitus. Workup with magnetic resonance angiography showed early opacification of the left sigmoid sinus and internal jugular vein as well as asymmetric and abundant opacification of the left external carotid artery branches, suspicious for a dural arteriovenous fistula (dAVF). Diagnosis was confirmed with cerebral angiography, consistent with a left-sided Cognard type I dAVF.1 Initial treatment attempt was made with transarterial 6% ethylene-vinyl alcohol copolymer (Onyx 18) embolization of feeders from the occipital and middle meningeal arteries. However, embolization was not curative and there was a recurrence of a highly bothersome tinnitus 3 wk following treatment. Angiography redemonstrated the transverse sinus dAVF with new recruitment arising from several feeders, including the left external carotid artery, middle meningeal artery, and superficial temporal artery, now Cognard type IIa. Definitive treatment through a transvenous coil embolization provided permanent obliteration of the fistula without recrudescence of symptoms on follow-up. In this video, the authors discuss the nuances of treating a dAVF via a transvenous embolization. Patient consent was given prior to the procedure, and consent and approval for this operative video were waived because of the retrospective nature of this manuscript and the anonymized video material.

Moyamoya Disease

2019 ◽  
pp. 149-156
Author(s):  
Edward Smith
Keyword(s):  
Moyamoya Disease ◽  
Cerebral Arteries ◽  
Pressure Control ◽  
Vascular Supply ◽  
External Carotid Artery ◽  
External Carotid ◽  
Middle Cerebral Arteries ◽  
Detailed Assessment ◽  
Collateral Vessels ◽  
Carotid Circulation

Moyamoya disease is defined by stenosis of the distal intracranial internal carotid arteries up to and including the bifurcation, with segments of the proximal anterior and middle cerebral arteries, dilated basal collateral vessels, and bilateral findings. Detailed assessment with digital subtraction angiography will define the severity of disease (Suzuki stage) and presence of spontaneous transdural collateral vessels from external carotid artery branches. These collateral vessels must be protected during surgical intervention. The surgical goal is to establish a new vascular supply to the areas of the brain at risk for stroke, utilizing vessels from the external carotid circulation. Blood pressure control and avoidance of hyperventilation are key to minimize perioperative stroke risk. Preoperative hydration, ongoing use of aspirin, and good pain control will also minimize surgical complications.

Sonography of a Carotid Body Tumor: A Case Report

2020 ◽  
Vol 36 (5) ◽  
pp. 501-505
Author(s):  
Elizabeth Nevle
Keyword(s):  
Carotid Artery ◽  
Carotid Body ◽  
Color Doppler ◽  
Vascular Tumor ◽  
External Carotid Artery ◽  
Carotid Body Tumor ◽  
External Carotid ◽  
Good Opportunity ◽  
The Brain ◽  
Benign Mass

A carotid body tumor is typically a benign mass and can have a low malignant potential. It can grow in between, attach to, or surround the internal carotid artery and external carotid artery in the neck. If this mass grows too big, it can compress the two arteries, causing problems in getting blood flow to the brain. The purpose for this sonography examination was to evaluate a patient with the following symptoms: dizziness, facial nerve injury, and sensorineural hearing loss. The carotid body tumor is a highly vascular tumor. This sonography examination provides a good opportunity to teach the importance of the use of color Doppler and proper documentation of this pathology that is often incorrectly documented with improper settings. This case reviews a 69-year-old Caucasian male with a carotid body tumor. The sonographic features, prevalence, common symptoms, prognosis, and treatments of the carotid body tumor are reviewed.

scholarly journals The Innervation and Vascular Supply of the Antrum

1934 ◽  
Vol 27 (6) ◽  
pp. 745-751 ◽  
Author(s):  
Cecil Strong
Keyword(s):  
Carotid Artery ◽  
Prussian Blue ◽  
Blood Supply ◽  
Vascular Supply ◽  
External Carotid Artery ◽  
External Carotid ◽  
Antral Mucosa ◽  
Thermal Tests ◽  
Made In

An attempt has been made to obtain information about the condition of the pulp of teeth, immediately below the bony incision, made in the lateral antral wall in radical antrotomy, and to investigate the conditions obtaining in the vascular supply of that neighbourhood. The investigation has two parts: (1) Experimental; (2) Clinical. Experimental.—( a) Injections of specimens of the superior maxillæ were made with lipiodol, then X-rayed. These showed vascular anastomoses along the antral floor. ( b) Sections of the lateral antral wall and floor were cut and stained to show nerves and blood spaces. ( c) The external carotid artery was injected with Prussian Blue and the maxilla then removed. ( d) Transverse sections of the teeth denervated were cut and their pulps examined. Clinical.—The patients who had been submitted to operation were taken, and their teeth examined by:— ( a) Transillumination. ( b) Percussion. ( c) Thermal tests. ( d) Faradic currents. ( e) Radiography. From these investigations it appears that the teeth are denervated but not devitalized by the trauma to the lateral antral wall above their apices. Their blood-supply is still present, and probably comes through a collateral anastomosis, along the antral floor and partly through the antral mucosa.

scholarly journals Bilateral anatomical variation in branching pattern of external carotid artery in a male cadaver - a case report

2015 ◽  
Vol 32 (02) ◽  
pp. 108-110
Author(s):  
L. Khanal ◽  
P. Baral ◽  
P. Yadav ◽  
A. Pandeya ◽  
S. Shah ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Anatomical Variation ◽  
Neck Region ◽  
External Carotid Artery ◽  
Facial Artery ◽  
External Carotid ◽  
Superior Thyroid Artery ◽  
Branching Pattern ◽  
Male Cadaver

AbstractDevelopmental anomalies in the origin and branching pattern of the external carotid artery are not common. The level of the bifurcation of the common carotid artery and also the variations in the origin/branching pattern of the external carotid artery are well known and documented. During a routine dissection of middle aged male cadaver in department of Anatomy in BP Koirala Institute of Health Sciences (BPKIHS) The clinically-relevant variations to be noted were the high origin and anomalous course of the facial artery, superior thyroid artery arising as a branch of Common Carotid artery, high origin of ascending pharyngeal artery, posterior auricular artery and direct glandular branches to the Submandibular gland. Such anatomical variations of external carotid artery are important for surgeons in surgeries of head and neck region and also for radiologists in the image interpretation of the face and neck region.

scholarly journals Successful devascularization of carotid body tumors by covered stent placement in the external carotid artery

2008 ◽  
Vol 48 (5) ◽  
pp. 1322-1324 ◽  
Author(s):  
James M. Scanlon ◽  
Jacob J. Lustgarten ◽  
Stewart B. Karr ◽  
Jules I. Cahan
Keyword(s):  
Carotid Artery ◽  
Carotid Body ◽  
Stent Placement ◽  
Covered Stent ◽  
External Carotid Artery ◽  
External Carotid ◽  
Carotid Body Tumors

Resection of an Embolized Cirsoid Aneurysm With Intracranial Venous Drainage: 2-Dimensional Operative Video

2018 ◽  
Vol 16 (3) ◽  
pp. E94-E94 ◽  
Author(s):  
Daniel M Heiferman ◽  
Hasan R Syed ◽  
Daphne Li ◽  
Brian D Rothstein ◽  
Ali Shaibani ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Venous Drainage ◽  
Vascular Supply ◽  
Endovascular Embolization ◽  
Vascular Lesions ◽  
Definitive Treatment ◽  
Cirsoid Aneurysm ◽  
Institutional Review ◽  
Diagnostic Angiography ◽  
Scalp Lesion

Abstract Cirsoid aneurysms, also known as scalp arteriovenous malformations (AVM), are rare congenital extracranial vascular anomalies that often present as an enlarging pulsatile scalp mass. A 14-yr-old male presented with a pulsatile scalp lesion that was first noticed 3 yr prior and had progressively enlarged. No history of trauma was reported. MRI demonstrated a 4 cm wide and 2 cm tall nidus and catheter angiography was performed to further define the vascular supply and drainage. The patient underwent transvenous endovascular embolization followed by surgical excision via a bicoronal incision, as shown in this operative video. Care was taken to identify, cauterize, and transect feeding vessels from the superficial temporal, supratrochlear, and supraorbital arteries circumferentially to completely devascularize and resect the galeal nidus from overlying scalp tissue and underlying pericranium. Previously unreported in the literature, transosseous emissary veins partially draining the lesion were noted on angiography and were waxed thoroughly during surgery. Six-month follow-up examination demonstrated a well-healed incision without evidence of AVM recurrence. The unique venous drainage of this cirsoid aneurysm highlights the value of diagnostic angiography to fully characterize these rare and complex vascular lesions prior to pursuing definitive treatment.  IRB approval was obtained from the Ann & Robert H. Lurie Children's Hospital of Chicago Institutional Review Board (IRB #2018-1799). The IRB waives the requirement of obtaining informed consent for this study in accordance with 45 CFR 46.116(d).

scholarly journals A large carotid body tumour: a rare case report

2017 ◽  
Vol 4 (6) ◽  
pp. 2067
Author(s):  
Mrinal Shankar ◽  
Sunil Saini ◽  
Manisa Pattanayak
Keyword(s):  
Carotid Body ◽  
Rare Case ◽  
Surgical Excision ◽  
Surgical Removal ◽  
Carotid Body Tumour ◽  
Rare Case Report ◽  
Carotid Body Chemoreceptors ◽  
Midline Sternotomy ◽  
Grade Iii

Carotid body tumour (CBT) is one of the most common jugular paraganglioma involving the carotid body chemoreceptors. We report the case of a 22 year young man who presented with complain of large painless progressive swelling in right upper neck for 3 years duration. On examination, swelling appeared pulsatile and arising from carotid vessel. MRI Neck and MRA performed revealed large well defined hypervascular mass lesion encasing right common carotid artery, its bifurcation and ECA, with feeders from ECA. Patient was undertaken for surgical excision (Shamblin Grade-III) through exposure in neck, extended by midline sternotomy and mandibulotomy approach, tumour was completely dissected. Patient recovered well from surgery without any sequale. HPE revealed CB paraganglioma. At two years follow up, he is recurrence free. The surgical removal of CBT has a good result.

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