Giant mycotic aneurysm of the internal carotid artery in a child: endovascular treatment.
We present a case of a giant mycotic aneurysm of the left internal carotid artery in a child, the result of direct extension of a deep neck space infection. This lesion is life threatening and may put the patient at risk of unwarranted biopsy or drainage if not recognized. Diagnosis and treatment planning rely heavily on cross-sectional imaging, and angiography is frequently necessary. This case is unique for two reasons: (1) we present for the first time the MRI findings and (2) we describe an alternative to surgical ligation -- neurointerventional embolotherapy. Minimally invasive transcatheter embolization was successfully performed on our patient to occlude the abnormal left internal carotid artery segment.
Glaiberman
Craig B
CB
Department of Radiology (H066), Milton S. Hershey Medical Center, Pennsylvania State University, P.O. Box 850, Hershey 17033, USA.
Towbin
Richard B
RB
Boal
Danielle K B
DK
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy*; D000900:Anti-Bacterial Agents; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents