BMJ Case Reports

2013

DOI: 10.1136/bcr-2012-007705

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Extracranial saccular atherosclerotic aneurysm of the internal carotid artery (ICA) treated by an oblique end-to-end primary anastomosis

Jakub Kaczynski

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,

Maria Wilczynska

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,

M. Blaszczynski

³

et al.

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Discussion2

Cranial Nerve Symptom1

Etiology and Natural History1

Introduction1

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Cited by 8 publications

(9 citation statements)

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“…Extracranial internal carotid aneurysms present with symptoms and signs of cerebrovascular insufficiency secondary to thrombo-embolism, or with signs related to local compression, such as involvement of the recurrent laryngeal nerve, vagus nerve, or facial nerve 6 . However, aneurysms may remain asymptomatic or present as a neck swelling, as in this case.…”

Section: Discussionmentioning

confidence: 88%

Bilateral Extracranial Internal Carotid Artery Aneurysms in a Patient with Marfan Syndrome: Case Report and Review of the Literature

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et al. 2019

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IntroductionAneurysms of the extracranial carotid artery are rare. They are often asymptomatic but can lead to disabling stroke. This report describes a case of bilateral internal carotid artery aneurysms in a patient with Marfan syndrome.ReportA 65 year old woman with Marfan syndrome presented with an asymptomatic swelling in the right anterior triangle of the neck. Imaging revealed bilateral extracranial fusiform internal carotid artery aneurysms. Staged open repair was performed. The right side was repaired by aneurysm excision and primary end to end anastomosis. The left side was repaired with a great saphenous vein interposition graft. The patient is free from aneurysm related complications at six years, although recurrent dilatation is present on surveillance.DiscussionInternal carotid aneurysms can be managed successfully by open repair. In patients with connective tissue disorders surveillance is required to monitor for post-operative aneurysmal dilatation.

“…Extracranial internal carotid aneurysms present with symptoms and signs of cerebrovascular insufficiency secondary to thrombo-embolism, or with signs related to local compression, such as involvement of the recurrent laryngeal nerve, vagus nerve, or facial nerve 6 . However, aneurysms may remain asymptomatic or present as a neck swelling, as in this case.…”

Section: Discussionmentioning

confidence: 88%

Bilateral Extracranial Internal Carotid Artery Aneurysms in a Patient with Marfan Syndrome: Case Report and Review of the Literature

¹

,

²

,

³

et al. 2019

EJVES Short Reports

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IntroductionAneurysms of the extracranial carotid artery are rare. They are often asymptomatic but can lead to disabling stroke. This report describes a case of bilateral internal carotid artery aneurysms in a patient with Marfan syndrome.ReportA 65 year old woman with Marfan syndrome presented with an asymptomatic swelling in the right anterior triangle of the neck. Imaging revealed bilateral extracranial fusiform internal carotid artery aneurysms. Staged open repair was performed. The right side was repaired by aneurysm excision and primary end to end anastomosis. The left side was repaired with a great saphenous vein interposition graft. The patient is free from aneurysm related complications at six years, although recurrent dilatation is present on surveillance.DiscussionInternal carotid aneurysms can be managed successfully by open repair. In patients with connective tissue disorders surveillance is required to monitor for post-operative aneurysmal dilatation.

“…Hoarseness of voice results from compression of recurrent pharyngeal and vagus nerves (n. X); local pain and discomfort are associated with malfunction of cervical branch of facial nerve (n. VII) [1, 7]. Further symptoms described include dizziness and tinnitus [2].…”

Section: Discussionmentioning

confidence: 99%

Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess

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et al. 2015

Case Reports in Otolaryngology

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The extracranial internal carotid artery aneurysm (EICAA) is an uncommon arterial lesion. Patients typically present with neurologic symptoms resulting from impaired cerebral perfusion and compression symptoms of cranial nerves. Often EICAA presents as a pulsatile neck mass, which is otherwise asymptomatic. We present a case of an 84-year-old female, who was initially referred to the Emergency Department for Otolaryngology with suspected peritonsillar abscess. The patient had a history of recent upper airway infection and cardiovascular comorbidities, including hypertension and ischaemic stroke complicated by extensive neurologic deficits. Physical examination revealed a compact, nonpulsatile mass in the lateral parapharyngeal space and local erythema of the mucosa. Duplex Doppler Ultrasonography and Computed Tomography revealed an atherosclerotic aneurysm of the right internal carotid artery, measuring 63 × 55 × 88 mm, stretching from the skull base to the angle of the mandible.

“…In open surgery for a lower cervical extracranial saccular aneurysm, aneurysmectomy with either direct end-to-end anastomosis or an interposition graft is recommended 91 . However, the aneurysm was located from the petrous portion to the higher cervical portion; thus, the direct surgical approach would have been difficult because of the anatomical characteristics 92,93 .…”

Section: Cranial Nerve Symptommentioning

confidence: 99%

Petrous Internal Carotid Artery Aneurysm: A Systematic Review

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et al. 2020

J Nippon Med Sch

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Object: Petrous internal carotid aneurysm (PA) concomitant with a mass lesion and cranial nerve palsy is relatively rare. In recent years, flow-diverter stent implantation is being widely used as an alternative treatment for PA. However, alternative treatments are not available for all patients for various reasons, including the tortuosity of the parent carotid artery, allergies to contrast material, or high cost. It is, therefore, important to compare the relative outcomes of different treatment methods. Here, we have accordingly reviewed the available literature on the treatments for PA. Methods: We searched PubMed, MEDLINE, and other databases, such as OvidSP using the terms "aneurysm ", "carotid artery", and "petrous " and identified 221 articles. We also performed a literature review and discussed and compared the etiologies, symptoms, treatment methods, and clinical outcomes in patients with PA. Results and Conclusions: The systematic review revealed that the onset of secondary aneurysms was generally manifested by bleeding (p<0.001), while the onset of primary aneurysms was manifested by cranial nerve deficits (p= 0.0014); the prognosis after treatment of 34 cranial nerve palsies in 25 cases was reported.

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