Unusual Angiographic Changes in an Internal Carotid Artery Pseudoaneurysm After Infection in the Deep Neck Space Case Report
A 48-year-old man presented with a pseudoaneurysm at the cervical portion of the left internal carotid artery (ICA) secondary to infection in the deep neck space. Magnetic resonance (MR) imaging demonstrated enhancement of the wall of the ICA and a pseudoaneurysm, considered to be sequelae of infect...
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| Published in | Neurologia medico-chirurgica Vol. 48; no. 5; pp. 216 - 219 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English Japanese |
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The Japan Neurosurgical Society
2008
THE JAPAN NEUROSURGICAL SOCIETY |
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| Abstract | A 48-year-old man presented with a pseudoaneurysm at the cervical portion of the left internal carotid artery (ICA) secondary to infection in the deep neck space. Magnetic resonance (MR) imaging demonstrated enhancement of the wall of the ICA and a pseudoaneurysm, considered to be sequelae of infection spread. ICA occlusion occurred on the next day resulting in sudden onset of right hemiparesis and motor aphasia. The ICA pseudoaneurysm shrank gradually and his neurological deficits improved with conservative therapy. One month later, he presented with aneurysm regrowth. The common carotid artery was occluded with Guglielmi detachable coils to block arterial flow into the pseudoaneurysm. There were no neurological complications. Marked enhancement of the ICA wall on computed tomography and MR imaging may indicate the possibility of vascular complications such as rupture, pseudoaneurysm development, or ICA occlusion, and consequent neurological deficits. ICA occlusion caused by spread of infection in the deep neck space may cause accelerated coagulopathy due to ICA wall inflammation. |
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| AbstractList | A 48-year-old man presented with a pseudoaneurysm at the cervical portion of the left internal carotid artery (ICA) secondary to infection in the deep neck space. Magnetic resonance (MR) imaging demonstrated enhancement of the wall of the ICA and a pseudoaneurysm, considered to be sequelae of infection spread. ICA occlusion occurred on the next day resulting in sudden onset of right hemiparesis and motor aphasia. The ICA pseudoaneurysm shrank gradually and his neurological deficits improved with conservative therapy. One month later, he presented with aneurysm regrowth. The common carotid artery was occluded with Guglielmi detachable coils to block arterial flow into the pseudoaneurysm. There were no neurological complications. Marked enhancement of the ICA wall on computed tomography and MR imaging may indicate the possibility of vascular complications such as rupture, pseudoaneurysm development, or ICA occlusion, and consequent neurological deficits. ICA occlusion caused by spread of infection in the deep neck space may cause accelerated coagulopathy due to ICA wall inflammation. Abstract A 48-year-old man presented with a pseudoaneurysm at the cervical portion of the left internal carotid artery (ICA) secondary to infection in the deep neck space. Magnetic resonance (MR) imaging demonstrated enhancement of the wall of the ICA and a pseudoaneurysm, considered to be sequelae of infection spread. ICA occlusion occurred on the next day resulting in sudden onset of right hemiparesis and motor aphasia. The ICA pseudoaneurysm shrank gradually and his neurological deficits improved with conservative therapy. One month later, he presented with aneurysm regrowth. The common carotid artery was occluded with Guglielmi detachable coils to block arterial flow into the pseudoaneurysm. There were no neurological complications. Marked enhancement of the ICA wall on computed tomography and MR imaging may indicate the possibility of vascular complications such as rupture, pseudoaneurysm development, or ICA occlusion, and consequent neurological deficits. ICA occlusion caused by spread of infection in the deep neck space may cause accelerated coagulopathy due to ICA wall inflammation. |
| Author | SHIMA, Hiroshi MIYASHITA, Katsuyoshi HAYASHI, Yasuhiko NAKADA, Mitsutoshi HAMADA, Jun-ichiro KINOSHITA, Masashi KIDA, Shinya |
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| References_xml | – volume: 16 start-page: 21 issn: 1016-2291 year: 1990 ident: 5 publication-title: Pediatr Neurosurg doi: 10.1159/000120498 contributor: fullname: Gonda RL Jr, Gutierrez OH, Hengerer – ident: 13 doi: 10.1097/00006123-200105000-00041 – volume: 18 start-page: 464 year: 1993 ident: 17 publication-title: Arch Otolaryngol doi: 10.1001/archotol.1933.03580060496006 contributor: fullname: Salinger S, Pearlman SJ – volume: 91 start-page: 510 year: 1999 ident: 15 publication-title: J Neurosurg doi: 10.3171/jns.1999.91.3.0510 contributor: fullname: Reisner A, Marshall GS, Bryant K, P – volume: 34 start-page: 417 issn: 0301-0449 year: 2004 ident: 3 publication-title: Pediatr Radiol doi: 10.1007/s00247-003-1036-0 contributor: fullname: Brochu B, Dubois J, Garel L, Quinta – volume: 14 start-page: 215 issn: 0741-5214 year: 1991 ident: 8 publication-title: J Vasc Surg doi: 10.1067/mva.1991.28089 contributor: fullname: Jebara VA, Acar C, Dervanian P, Cha – volume: 27 start-page: 117 issn: 0021-9509 year: 1986 ident: 19 publication-title: J Cardiovasc Surg (Torino) contributor: fullname: Takagi A, Kajiura N, Tada Y, Ueno A – volume: 27 start-page: 455 issn: 0006-355X issue: 3/4 year: 1990 ident: 2 publication-title: Biorheology – ident: 4 doi: 10.1126/science.3883488 – volume: 19 start-page: 502 issn: 0195-6108 year: 1998 ident: 20 publication-title: AJNR Am J Neuroradiol contributor: fullname: Tanaka H, Patel U, Shrier DA, Conig – volume: 250 start-page: H1145 year: 1986 ident: 16 publication-title: Am J Physiol contributor: fullname: Rubanyi GM, Romero JC, Vanhoutte PM – volume: 52 start-page: 153 issn: 0090-3019 year: 1999 ident: 6 publication-title: Surg Neurol doi: 10.1016/S0090-3019(99)00039-7 contributor: fullname: Hosoda K, Fujita S, Kawaguchi T, Sh – volume: 19 start-page: 499 issn: 0195-6108 year: 1998 ident: 7 publication-title: AJNR Am J Neuroradiol contributor: fullname: Ide C, Bodart E, Remacle M, De Coen – volume: 147 start-page: 181 issn: 0024-6921 year: 1995 ident: 1 publication-title: J La State Med Soc contributor: fullname: Beasley DJ, Amedee RG – ident: 14 doi: 10.1016/S1078-5884(96)80043-8 – ident: 10 doi: 10.1016/0165-5876(95)01185-E – volume: 41 start-page: 682 issn: 1034-4810 year: 2005 ident: 12 publication-title: J Paediatr Child Health doi: 10.1111/j.1440-1754.2005.00759.x contributor: fullname: Mordekar SR, Bradley PJ, Whitehouse – volume: 14 start-page: 696 issn: 0195-6108 year: 1993 ident: 9 publication-title: AJNR Am J Neuroradiol contributor: fullname: Krysl J, Noel de Tilly L, Armstrong – volume: 74 start-page: 852 issn: 0009-7330 year: 1994 ident: 11 publication-title: Circ Res doi: 10.1161/01.RES.74.5.852 contributor: fullname: Malek AM, Jackman M, Rosenberg RD – volume: 19 start-page: 206 issn: 0381-6605 year: 1990 ident: 18 publication-title: J Otolaryngol contributor: fullname: Stevens HE |
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| Snippet | A 48-year-old man presented with a pseudoaneurysm at the cervical portion of the left internal carotid artery (ICA) secondary to infection in the deep neck... Abstract A 48-year-old man presented with a pseudoaneurysm at the cervical portion of the left internal carotid artery (ICA) secondary to infection in the deep... |
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| Subtitle | Case Report |
| Title | Unusual Angiographic Changes in an Internal Carotid Artery Pseudoaneurysm After Infection in the Deep Neck Space |
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