title: Endovascular Occlusion of Cervical Internal Carotid Artery Pseudoaneurysm in a Child Treated by N-Butyl Cyanoacrylate: A Rare Case Report.
abstract: We report a rare case of spontaneous extracranial cervical internal carotid artery (ICA) pseudoaneurysm in a female child aged 3 years who presented with a swelling in the neck which had bled following an attempted incision as it had been thought to be an abscess. A CT angiogram and an MR angiogram were not very conclusive to diagnose the exact site of origin and the morphology of the aneurysm. Digital subtraction angiography revealed a dissecting pseudoaneurysm of the right extracranial cervical ICA. The right ICA was ending as a pseudosac, and the right cerebral circulation was filling up through the right posterior cerebral artery. To minimize the radiation exposure, a microcatheter was placed inside the diagnostic catheter. The aneurysm sac was occluded using N-butyl cyanoacrylate since there was no distal flow to the brain from the artery beyond the aneurysm. It was a safe, effective and cheaper alternative to open surgery or to other endovascular management options available. Not all neck swellings are abscesses, and they should be examined and evaluated to exclude a vascular cause.
authors.affiliation: GB Pant Hospital and Maulana Azad Medical College, New Delhi, India.
authors.forename: Anita
authors.initials: A
authors.lastname: Jagetia
authors.forename: Divyajyoti
authors.initials: D
authors.lastname: Sharma
authors.forename: Daljit
authors.initials: D
authors.lastname: Singh
authors.forename: Sanjiv
authors.initials: S
authors.lastname: Sinha
authors.forename: Pragati
authors.initials: P
authors.lastname: Ganjoo
authors.forename: Poonam
authors.initials: P
authors.lastname: Narang
authors.forename: Veeresh
authors.initials: V
authors.lastname: Mathod
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000188:drug therapy*; D002343:Carotid Artery, Internal / Q000187:drug effects / Q000473:pathology*; D002574:Cervical Vertebrae; D002675:Child, Preschool; D004659:Enbucrilate / Q000008:administration & dosage*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D004659:Enbucrilate