Treatment of cervical internal carotid artery spontaneous dissection with pseudoaneurysm and unilateral lower cranial nerves palsy by two silk flow diverters.
Internal carotid artery (ICA) lesions in the parapharyngeal space (a dissection and a pseudoaneurysm) may present as isolated lower cranial nerves (IX, X, XI, and XII) palsy (Collet-Sicard syndrome). Some arteriopathies such as fibromuscular dysplasia and tortuosity make a vessel predisposed to dissection. Extreme vessel tortuosity makes the treatment by a stent graft impossible. Two Silk stents were used in a 46 year-old man with left lower cranial nerves (IX-XII) palsy for the treatment of left ICA spontaneous dissection with pseudoaneurysm. A follow-up angiogram 5 months later confirmed pseudoaneurysm thrombosis and patency of the left ICA. The patient recovered completely from the deficits.
Department of Radiology, University Hospital, Kollárova 2, 036 59, Martin, Slovakia. zelenak@unm.sk
Kamil
K
Zeleňák
Jana
J
Zeleňáková
Július
J
DeRiggo
Egon
E
Kurča
Ema
E
Kantorová
Hubert
H
Poláček
D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography / Q000379:methods; D003389:Cranial Nerve Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D057510:Endovascular Procedures / Q000295:instrumentation* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D035583:Rare Diseases; D018570:Risk Assessment; D047011:Silk; D015607:Stents; D013577:Syndrome; D016896:Treatment Outcome
D047011:Silk