Document Detail

Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient. Case report.
MedLine Citation:
PMID:  18352770     Owner:  NLM     Status:  MEDLINE    
Extracranial carotid artery (CA) aneurysms are rare in the pediatric population and are usually the result of connective tissue disorders, traumatic dissection, or infection. The authors present the case of a large calcified internal carotid artery pseudoaneurysm of obscure origins presenting with embolic stroke in a child. Aneurysm excision and CA reconstruction would have been extremely difficult due to the distal location of the lesion, and CA ligation was contraindicated due to a failed balloon test occlusion. Therefore, after anticoagulation therapy, the patient was treated endovascularly with a covered stent and complete exclusion of the aneurysm from the circulation. The patient recovered all neurological function and has remained in excellent condition. A follow-up angiogram performed at 6 months showed no recurrence or stenosis.
Stacey Quintero Wolfe; Nils Mueller-Kronast; Mohammad Ali Aziz-Sultan; Alois Zauner; Sanjiv Bhatia
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  1     ISSN:  1933-0707     ISO Abbreviation:  -     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-20     Completed Date:  2008-05-08     Revised Date:  2009-02-19    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  240-3     Citation Subset:  IM    
Department of Neurosurgery, University of Miami, FL 33136, USA. <>
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MeSH Terms
Aneurysm, False / diagnosis*
Angioplasty, Balloon
Blood Vessel Prosthesis Implantation
Calcinosis / diagnosis
Carotid Artery Diseases / diagnosis*
Carotid Artery, Internal / pathology*
Diagnosis, Differential
Follow-Up Studies
Intracranial Embolism / diagnosis*
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Stroke / diagnosis*
Tomography, X-Ray Computed

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