Acute Nonruptured Expansion of Extracranial Carotid Artery Aneurysm. An Infrequent Clinical Presentation

Hernández, Julio González; Bertomeu, Alicia Bueno; Casariego, C. Varela; Martínez, Alejandro Bravo; Hernández-Ávila, Cristina; March, José Ramón

doi:10.1016/j.avsg.2020.12.053

Cited by 2 publications

(2 citation statements)

References 34 publications

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“…Major complications involve compression of neurovascular structures, embolization, rupture, or ischemia [ 4 ]. The postulated etiology behind cranial nerve involvement is stretching of the nerve by the expanded artery or interruption of nutrient vessels supplying the nerve [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Extracranial Internal Carotid Aneurysm Manifesting With Tinnitus: A Rare Presentation

Pillai¹,

Arora²,

Asokan³

et al. 2022

Cureus

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A 19-year-old male presented with a history of pulsatile tinnitus on the left side after he underwent drainage for a tonsillar swelling. He had noticed a painless neck swelling one month ago that was associated with difficulty in swallowing. His physician had made a diagnosis of peritonsillar abscess, and drainage had been performed. After the procedure, the swelling had progressed further, leading to drooling of saliva and disabling tinnitus. When he presented to the emergency, local examination revealed a pulsatile neck swelling with peritonsillar mass. CT angiography/digital subtraction angiography (DSA) of the neck and brain revealed a large aneurysm of the distal cervical segment of the left internal carotid artery (ICA). The patient successfully underwent an urgent open repair. This case highlights the importance of a thorough history and examination in identifying a rare cause of pulsatile tinnitus. A stepwise approach to determine the reason behind tinnitus revealed an underlying ICA aneurysm of the extracranial segment.

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Section: Discussionmentioning

confidence: 99%

Extracranial Internal Carotid Aneurysm Manifesting With Tinnitus: A Rare Presentation

Pillai¹,

Arora²,

Asokan³

et al. 2022

Cureus

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“…Endovascular treatment options include stenting and coil embolization, 1 however is only used in 5% of cases due to the variable anatomy and tortuosity of these vessels, leading to increased risk of embolism. 8 Post-operative CN injury, most commonly to CN IX, X and XII, is a risk in open repair due to the anatomical distortion but most often temporary and reported to vary between 2.2 and 44%. 2 The incidence of post-operative stroke and mortality varies in current literature.…”

Section: Discussionmentioning

confidence: 99%

Giant Carotid Artery Aneurysm

Walter

Flett

Nagy

et al. 2021

Vasc Endovascular Surg

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Carotid artery aneurysms account for 4% of peripheral aneurysms and may present as a neck mass, with hemispheric ischaemic symptoms, or with symptoms secondary to local compression. This case explores the presentation, investigations and management of a presumed mycotic common carotid artery aneurysm in a 77-year-old male, which was repaired using end-to-end interposition vein graft using long saphenous vein. This report discusses the aetiology, presentation and surgical management for carotid artery aneurysms, as well as focusing on that of the rare mycotic carotid artery aneurysm.

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Acute Nonruptured Expansion of Extracranial Carotid Artery Aneurysm. An Infrequent Clinical Presentation

Cited by 2 publications

References 34 publications

Extracranial Internal Carotid Aneurysm Manifesting With Tinnitus: A Rare Presentation

Extracranial Internal Carotid Aneurysm Manifesting With Tinnitus: A Rare Presentation

Giant Carotid Artery Aneurysm

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