title: Cervical carotid aneurysm presenting as transient ischemia and recurrent laryngeal nerve palsy.
abstract: Aneurysms of the extracranial carotid artery are rare. Neurological manifestations in patients with these lesions may be quite varied. This paper presents a unique patient who showed both hoarseness due to left recurrent laryngeal nerve paralysis as a local sign of compression, and ischemic syncopal attack as an embolic or flow-related symptom. Little has appeared in the otolaryngologic literature, despite the fact that many patients have symptoms that may initially lead them to see an otolaryngologist. A misleading needle biopsy of the mass in the neck was performed by a local otolaryngologist before the diagnosis was confirmed. The literature on the subject is briefly reviewed.
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000601:surgery; D002340:Carotid Artery Diseases / Q000150:complications* / Q000601:surgery; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012009:Recurrent Laryngeal Nerve / Q000503:physiopathology; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000503:physiopathology