Internal Carotid False Aneurysm After Thermocoagulation of the Gasserian Ganglion

Schmerber, S.; Vasdev, A; Chahine, Karim; Tournaire, Romain; Fan, Bing

doi:10.1097/mao.0b013e31817ef4cc

Cited by 15 publications

(11 citation statements)

References 4 publications

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“…These include vestibular schwannomas [61,62], meningiomas [63-66], epidermoid cysts [67,70], tuberculomas [71,72] and various other cysts and tumours [66,67,70,73-77]. TN can be evoked also by presence of aneurysm [78,79], vessels aggregation and occlusion due to arachnoiditis [80]. Compression of the trigeminal nerve root may be mediated by the tumour itself, by an interposed blood vessel or by distortion of the contents of the posterior fossa with displacement of the nerve root against a blood vessel or the skull base.…”

Section: Methodsmentioning

confidence: 99%

Aetiology and Pathogenesis of Trigeminal Neuralgia: a Comprehensive Review

Sabalys¹,

Juodžbalys²,

Wang

2012

JOMR

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ObjectivesThe aim of present paper was to discuss issues related to trigeminal neuralgia with strong emphasis on the aetiology and pathogenesis of this problem.Material and MethodsAn electronic search of 5 databases (1965 - Oct 2012) and a hand search of peer-reviewed journals for relevant articles were performed. In addition, experience acquired from treating 3263 patients in the Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, were also summarized.ResultsGenerally, aetiological factors can be classified into 3 most popular theories that were based on: 1) Related to other disease, 2) Direct injury to the trigeminal nerve, and 3) Propagates the polyetiologic origin of the disease. In addition, two pathogenesis mechanisms of trigeminal neuralgia were proposed. First: the peripheral pathogenetic mechanism that is often induced by progressive dystrophy around the peripheral branches of the trigeminal nerve. Second, central pathogenetic mechanism which often triggered by peripheral pathogen that causes long-lasting afferent impulsation and the formation of a stable pathologic paroxysmal type irritation focus on the central nerve system (CNS).ConclusionsPatients with susceptive trigeminal neuralgia should be examined carefully by specialists who have expertise in assessing and diagnosing of possible pathological processes and be able to eliminate the contributing factors so the trigeminal neuralgia can be properly managed.

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Section: Methodsmentioning

confidence: 99%

Aetiology and Pathogenesis of Trigeminal Neuralgia: a Comprehensive Review

Sabalys¹,

Juodžbalys²,

Wang

2012

JOMR

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“…Many of these aneurysms are pseudoaneurysms that arise as a result of trauma,2 9 21 iatrogenic injury,10 15 16 22 23 infection,7 19 radiation,8 11 22 25 or genetic abnormalities, such as fibromuscular dysplasia14 and Ehlers–Danlos syndrome 24. In our case, chronic otitis media is a possible etiology with progressive erosion into the left ICA, although we cannot rule out iatrogenic injury given a history of tympanoplasty.…”

Section: Discussionmentioning

confidence: 77%

“…CP-ICA aneurysms can present in a variety of different ways, including headache, cranial neuropathies,1 20 23 Horner syndrome,20 transient ischemic attack,4 pulsatile tinnitus,13 hearing loss,6 13 epistaxis,3 4 8 11 13 15 22 and otorrhagia 4 6–8 10 15 19 25. They may also be asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Cervical–petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques

Leacy

Oermann

Skovrlj

et al. 2014

J NeuroIntervent Surg

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Cervical-petrous internal carotid artery (CP-ICA) pseudoaneurysms are rare and have different etiologies, presentations, and treatment options. A middle-aged patient with a history of chronic otitis media presented with acute otorrhagia and was found to have a left-sided CP-ICA pseudoaneurysm. The patient was a poor surgical candidate with difficult arterial access. The pseudoaneurysm was treated with stand-alone coiling via a left brachial approach with persistent contrast filling seen only in the aneurysm neck at the end of the procedure. The patient re-presented 12 days later with repeat hemorrhage and rapid enlargement of the neck remnant, and was treated with a covered stent via a transcervical common carotid artery cut-down. A covered stent may provide a more definitive treatment for CP-ICA pseudoaneurysms compared with standalone coiling.

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“…Several potential causes leading to the development of IFA were so far described in the scientific literature, including traumatic (following blunt or penetrating brain traumas), infectious (osteomyelitic, mycotic-or arteritis-related artery degeneration), iatrogenic (following surgical or endovascular treatments), neoplastic (associated with any type of skull base tumor), genetic (i.e. related to Cystic Necrosis or Marfan syndrome) and degenerative (due to arteriosclerosis or fibro-muscular dysplasia) diseases [3][4][5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Emergency endovascular treatment of petrous carotid artery false aneurysm

Graziano

Ganau

Russo

et al. 2015

Interdisciplinary Neurosurgery

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Introduction:The management of ruptured intracranial false aneurysms (IFAs) might be tricky as any kind of treatment modality, surgical or endovascular, is burdened with significant challenges. A case report of the endovascular treatment of IFA in emergency setting is presented to provide more understanding of its pathophysiology as well as of the best operative work-up for petrous carotid artery reconstruction. Methods: Technical notes from a left sided skull base abscess, involving and eroding the carotid canal and petrous carotid artery (PCA) resulting in an IFA are shown and analyzed. Results: Balloon-assisted low viscosity Onyx embolization seems an effective method for the emergency treatment of IFA. Indications, technical nuances, and peri-and post-procedural complications are thoroughly discussed. A flow chart for the management of IFA is also proposed. Conclusions: The combination of parent artery balloon protection and low viscosity Onyx embolization can provide an effective occlusion of the IFA while maintaining parent artery patency. Normal distal filling of the parent artery, and optimal obliteration of the IFA are easily achievable.

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Internal Carotid False Aneurysm After Thermocoagulation of the Gasserian Ganglion

Abstract: Gasserian ganglion thermocoagulation may cause aneurysm and rupture of the petrous portion of the internal carotid artery.

Cited by 15 publications

References 4 publications

Aetiology and Pathogenesis of Trigeminal Neuralgia: a Comprehensive Review

Aetiology and Pathogenesis of Trigeminal Neuralgia: a Comprehensive Review

Cervical–petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques

Emergency endovascular treatment of petrous carotid artery false aneurysm

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