Endovascular treatment for bilateral mycotic intracavernous carotid aneurysms

Yen, Pao-Sheng; Teo, Beng Tiong; Chen, Shang Chi; Chiu, Tsung Lang

doi:10.3171/jns.2007.107.4.868

Cited by 6 publications

(12 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…15,16) The present case of JFS was caused by mycotic aneurysm after focal infection, in contrast to previous cases of mycotic aneurysm without JFS after focal infection including otitis media. 14,19,21) Furthermore, hypoglossal nerve paresis was observed in all previous cases of extracranial ICA aneurysm with lower cranial nerve palsy, whereas typical JFS or Vernet's syndrome was seen only in our case. We stress that extracranial ICA aneurysms due to focal infection should be considered in the differential diagnosis of lower cranial nerve palsy, although the incidence is thought to be very low.…”

Section: Discussionmentioning

confidence: 68%

“…Endosaccular coil embolization assisted with balloon or wall stent has been recommended even for mycotic aneurysm. 14,21) Selective aneurysm coiling may result in high-rate recanalization or rebleeding for large or giant non-mycotic ICA aneurysm. 1,17) Theoretically, a covered stent, which has been tried as a treatment for ICA aneurysm recently, 12,20) might be the best choice for patients with ICA aneurysms who cannot tolerate the balloon occlusion test.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Vernet's Syndrome Caused by Large Mycotic Aneurysm of the Extracranial Internal Carotid Artery After Acute Otitis Media -Case Report-

Amano

Ishikawa

Kujiraoka

et al. 2010

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

An 85-year-old man presented with a rare large aneurysm of the extracranial internal carotid artery (ICA) due to acute otitis media manifesting as Vernet's syndrome 2 weeks after the diagnosis of right acute otitis media. Angiography of the right extracranial ICA demonstrated an irregularly shaped large aneurysm with partial thrombosis. The aneurysm was treated by proximal ICA occlusion using endovascular coils. The ICA mycotic aneurysm was triggered by acute otitis media, and induced Vernet's syndrome as a result of direct compression to the jugular foramen. Extracranial ICA aneurysms due to focal infection should be considered in the differential diagnosis of lower cranial nerve palsy, although the incidence is thought to be very low.

show abstract

Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Vernet's Syndrome Caused by Large Mycotic Aneurysm of the Extracranial Internal Carotid Artery After Acute Otitis Media -Case Report-

Amano

Ishikawa

Kujiraoka

et al. 2010

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…Entretanto alguns inconvenientes ao método são a alta quantidade de contraste utilizada, possibilidade de ruptura durante procedimento, risco de isquemia e o hematoma no local da punção 5 . Considerando a grande variabilidade no prognóstico dos pacientes que são tratados somente com antibioticoterapia e os bons resultados da terapia endovascular, os neurocirurgiões devem considerar a realização de uma terapia combinada na qual o uso de antibióticos deve ser feito com o objetivo de reduzir o risco de sangramento e de tratar a endocardite, enquanto a abordagem endovascular deve ser realizada tendo como meta o tratamento específico para o aneurisma 6 .…”

Section: Discussionunclassified

Hemorragia intracerebral por rotura de aneurisma infeccioso. Apresentação habitual de uma entidade infrequente

et al. 2015

View full text Add to dashboard Cite

RESUMOObjetivo. Descrição de hemorragia intracerebral secundária a rotura de aneurisma infeccioso manifestada por uma síndrome neurológica clássica. Método. Relato de caso e breve revisão da literatura. Resultados. A correlação clínico-radiológica permitiu no caso apresentado o correto diagnóstico topográfico e etiológico da lesão. Dentre os diversos tipos de tratamento de aneurismas infecciosos algumas terapias são propostas, no caso descrito os autores optaram pela antibioticoterapia juntamente com o tratamento neurocirúrgico endovascular. O exame de angiografia controle evidenciou completa oclusão da lesão e no seguimento ambulatorial o paciente apresentou boa evolução clínica. Conclusões. O exame físico associado a minuciosa história clínica são recursos indispensáveis ao médico. Esses recursos permitiram em conjunto com a avaliação radiológica complementar, arsenal terapêutico disponível e equipe de reabilitação multidisciplinar propiciar excelente evolução e recuperação funcional do paciente. Unitermos. Aneurisma Infectado, Síndrome de Gerstmann, Hemorragia CerebralCitação. Vitorino-Araújo JL, Ferraz VR, Prôa-Júnior MS, Veiga JCE. Hemorragia intracerebral por rotura de aneurisma infeccioso. Apresentação habitual de uma entidade infrequente. ABSTRACTObjective. Description of intracerebral hemorrhage secondary to an infectious aneurysm rupture manifested by classical neurological sín-drome. Method. Case report and brief literature review. Results. The clinical and radiological correlation allowed in the presented case the correct topographic and etiological diagnosis of the injury. Among the various types of treatment of infectious aneurysms some therapies are proposed, in the case described the authors opted for antibiotic therapy combined with endovascular neurosurgical treatment. The control angiography examination showed complete occlusion of the lesion and in outcome follow-up the patient showed good clinical improvement. Conclusions. Physical examination combined with detailed clinical history are indispensable resources to the doctor. These features enabled together with the complementary radiological evaluation, therapeutic arsenal available and multidisciplinary rehabilitation team provide excellent performance and functional recovery of the patient. Keywords. Aneurysm Infected, Gerstmann Syndrome, Cerebral HemorrhageCitation. Vitorino-Araújo JL, Ferraz VR, Prôa-Júnior MS, Veiga JCE. Intracerebral hemorrhage caused by ruptured infectious aneurysm. Usual presentation of a rare entity. Hemorragia intracerebral por rotura de aneurisma infeccioso. Apresentação habitual de uma entidade infrequente

show abstract

“…In some cases, volume reduction or even resolution of the aneurysm has been observed under antibiotic treatment alone. However, many reports have shown the progressive enlargement of aneurysms under antibiotic treatment [1,4,6,12,13]. In addition, the good results of endovascular treatment described in different reports are a further argument not to delay endovascular treatment anymore [4][5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…Mycotic aneurysms of the bilateral intracavernous sinus are extremely rare [1][2][3][4][5][6]. There are various reports on the treatment of these lesions such as carotid ligation on symptomatic and wrapping on contralateral side [3], extracranial-intracranial (EC-IC) bypass with ligation on both sides [2], carotid ligation only on symptomatic side [1], direct balloon occlusion within the aneurysmal sac with preservation of the carotid artery blood flow [4], stent-assisted vessel wall remodeling technique with preservation of the parent arteries on both sides [6].…”

Section: Introductionmentioning

confidence: 99%