Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient. Case report.
Extracranial carotid artery (CA) aneurysms are rare in the pediatric population and are usually the result of connective tissue disorders, traumatic dissection, or infection. The authors present the case of a large calcified internal carotid artery pseudoaneurysm of obscure origins presenting with embolic stroke in a child. Aneurysm excision and CA reconstruction would have been extremely difficult due to the distal location of the lesion, and CA ligation was contraindicated due to a failed balloon test occlusion. Therefore, after anticoagulation therapy, the patient was treated endovascularly with a covered stent and complete exclusion of the aneurysm from the circulation. The patient recovered all neurological function and has remained in excellent condition. A follow-up angiogram performed at 6 months showed no recurrence or stenosis.
Wolfe
Stacey Quintero
SQ
Department of Neurosurgery, University of Miami, FL 33136, USA. staceyquintero@hotmail.com <staceyquintero@hotmail.com>
Mueller-Kronast
Nils
N
Aziz-Sultan
Mohammad Ali
MA
Zauner
Alois
A
Bhatia
Sanjiv
S
D017541:Aneurysm, False / Q000175:diagnosis*; D000792:Angiography; D000800:Angioplasty, Balloon; D019917:Blood Vessel Prosthesis Implantation; D002114:Calcinosis / Q000175:diagnosis; D002340:Carotid Artery Diseases / Q000175:diagnosis*; D002343:Carotid Artery, Internal / Q000473:pathology*; D002648:Child; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D015607:Stents; D020521:Stroke / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed