Occult carotid pseudoaneurysm following streptococcal throat infection.
Pseudoaneurysm of the internal carotid artery (PAICA) is a rare complication of neck space infection. An 8-year-old girl presented with odynophagia (painful swallowing), trismus and left peritonsillar swelling. Abscess was suspected, but aspiration was dry. The PAICA was diagnosed on computed tomography. The aneurysm and involved left internal carotid artery were occluded endovascularly. She has made an uneventful recovery.
Mordekar
S R
SR
Department of Paediatric Neurology, Queen's Medical Centre, Nottingham, UK. smordekar@yahoo.com
Bradley
P J
PJ
Whitehouse
W P
WP
Goddard
A J P
AJ
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D000792:Angiography; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D002648:Child; D005260:Female; D006801:Humans; D000039:Peritonsillar Abscess / Q000150:complications* / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014069:Tonsillitis / Q000150:complications* / Q000601:surgery