Document Detail

Spontaneous parapharyngeal haematoma caused by a leaking vertebral artery pseudoaneurysm.
MedLine Citation:
PMID:  17701195     Owner:  NLM     Status:  MEDLINE    
We describe an unusual case of spontaneous parapharyngeal haematoma, in a patient with haemophilia. The cause was a leaking extracranial vertebral artery pseudoaneurysm eroding through the atlas at the level of the skull base. The leaking pseudoaneurysm was successfully controlled with embolisation of the vertebral artery. The haematoma caused a cerebral infarct and vocal cord paralysis, requiring external drainage and tracheostomy. This is the first reported case of a parapharyngeal haematoma originating from a vertebral artery pseudoaneurysm where imaging demonstrated a causal link.
Khaled Badran; Navin Mani; Patrick Axon
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-08-14
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  265     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-30     Completed Date:  2008-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  251-4     Citation Subset:  IM    
Department of Otolaryngology and Skull Base Surgery, Addenbrooke's Hospital, Cambridge, UK.
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MeSH Terms
Aneurysm, False / complications*,  pathology*,  therapy
Embolization, Therapeutic
Hematoma / etiology*
Hemophilia A / complications
Magnetic Resonance Imaging
Middle Aged
Pharyngeal Diseases / etiology*
Vertebral Artery / pathology*,  surgery

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