title: Transient ischaemic attacks due to a pulsating mass in the neck produced after incision and drainage of parapharyngeal abscess.
abstract: Carotid endarterectomy is the most commonly performed vascular surgical procedure. One of the complications of carotid endarterectomy is Pseudoaneurysm of the carotid artery frequently managed by endo-vascular technique. Pseudoaneurysm caused by other aetiological factors is rare entity. Penetrating trauma and neck surgery are known but very rare causes of pseudo aneurysm of the carotid artery. We have successfully managed a case of carotid artery pseudoaneurysm caused by incision and drainage of parapharyngeal abscess. This surgery also leads to the palsy of right vagus nerve causing complete hoarseness of voice. The patient presented with Transit Ischaemic Attacks (TIA) and amurosis fugos. Resection of aneurysm and reconstruction of right carotid artery lead to complete recovery. Vocal cord palsy was managed by Vox implant injection leading to full recovery.
authors.affiliation: Department of Surgery, Islamic International Medical College Rawalpindi, Pakistan. mikhan@comsats.net.pk
authors.forename: Mohammad Iqbal
authors.initials: MI
authors.lastname: Khan
authors.forename: Mohammad
authors.initials: M
authors.lastname: Tariq
authors.forename: Danyal
authors.initials: D
authors.lastname: Rashid
mesh_terms: D020212:Carotid Artery Injuries / Q000150:complications* / Q000209:etiology / Q000601:surgery; D004322:Drainage / Q000009:adverse effects*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D017703:Retropharyngeal Abscess / Q000601:surgery*; D061223:Vagus Nerve Injuries; D014826:Vocal Cord Paralysis / Q000209:etiology / Q000601:surgery