title: Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient. Case report.
abstract: 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.
authors: Department of Neurosurgery, University of Miami, FL 33136, USA. staceyquintero@hotmail.com <staceyquintero@hotmail.com>
authors: Stacey Quintero
authors: SQ
authors: Wolfe
authors: Nils
authors: N
authors: Mueller-Kronast
authors: Mohammad Ali
authors: MA
authors: Aziz-Sultan
authors: Alois
authors: A
authors: Zauner
authors: Sanjiv
authors: S
authors: Bhatia
mesh_terms: 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