Bilateral aneurysms of the extracranial internal carotid artery presenting as vocal fold palsy

Abstract

Bilateral extracranial internal carotid aneurysms are very rare, though well documented. We report a case of bilateral extracranial internal carotid aneurysms presenting with vocal fold paralysis, which we believe to be the first.

Bilateral Duplication of the Foramen Spinosum: A Case Report with Clinical and Developmental Implications

“…Treatment for bilateral VS includes bilateral surgeries for the resection of the tumors [9]. Similarly, bilateral aneurysms of the internal carotid artery (ICA) have been well documented [10,11]. Indeed, even in clinically unilateral aneurysm cases, the prevalence of bilateral ICA aneurysms warrants that angiography be performed bilaterally [10].…”

Intrathoracic Tracheal Obstruction Caused by a Carotid Mycotic Aneurysm in a Patient with Deep Neck Infection – A Case Report

“…Carotid aneurysms usually present with recurrent loss of consciousness [7], vocal cord paralysis [8] or recurrent massive epistaxis [9]. To our knowledge, acute tracheal obstruction by an infected pseudoaneurysm has not been previously reported.…”

Radiology Quiz Case 2: Diagnosis

“…3,4 Pseudoaneurysms of the ICA can also occur as a result of invasive cancer or after head and neck surgical procedures, such as tonsillectomies, neck dissections, and endovascular procedures. 7 The most common presentations of extracranial ICA pseudoaneurysms include a pulsatile neck mass and neu-rologic symptoms. The patients who remain at risk for infectious origin include those from underdeveloped countries and children between the ages of 2 and 10 years who have an inflammatory and rapidly expanding neck mass.…”

“…Pseudoaneurysms of the ICA that are spontaneous, or occur without a precipitating traumatic or infectious event, are rare and typically occur in elderly patients. 7,8 Recurrent oral bleeding is a rare presentation of ICA pseudoaneurysms and is less likely to be recognized as a warning sign for impending rupture of an arterial lesion. They can easily result in disastrous complications from routine diagnostic and treatment modalities such as biopsy or incision and drainage and should therefore be considered in the differential diagnosis of all parapharyngeal and carotid space neck masses.…”

“…It can decipher the length and diameter of the lesion, the velocity of flow in the native artery and pseudoaneurysm cavity, and the patency of surrounding vasculature. 7 Options for (REPRINTED) ARCH OTOLARYNGOL HEAD NECK SURG/ VOL 134 (NO. These studies can help determine the extent of the lesion and its involvement with adjacent structures.…”