Document Detail


Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient. Case report.
MedLine Citation:
PMID:  18352770     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Department of Neurosurgery, University of Miami, FL 33136, USA. staceyquintero@hotmail.com <staceyquintero@hotmail.com>
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / diagnosis*
Angiography
Angioplasty, Balloon
Blood Vessel Prosthesis Implantation
Calcinosis / diagnosis
Carotid Artery Diseases / diagnosis*
Carotid Artery, Internal / pathology*
Child
Diagnosis, Differential
Follow-Up Studies
Humans
Intracranial Embolism / diagnosis*
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Stents
Stroke / diagnosis*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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