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Internal Carotid Artery Aneurysm

Aneurysm of Int Carotid Artery


Presentation

  • CONCLUSION: The present case indicates that an intrasellar ICA aneurysm can be misdiagnosed as a macroadenoma and even present through pituitary apoplexy.[ncbi.nlm.nih.gov]
  • The clinical presentation may be an asymptomatic neck mass or there may be symptoms of upper aerodigestive tract compression.[ncbi.nlm.nih.gov]
  • Securing airway beforehand and timely embolization has led to the favorable outcome in the present case.[ncbi.nlm.nih.gov]
  • The present case shows that thrombosed intracavernous ICA aneurysm may still carry the risk of rupture.[ncbi.nlm.nih.gov]
  • We report a case of an internal carotid artery aneurysm presenting as orofacial pain. Case report and discussion. A 59-year-old patient presented with a four-year history of chronic oral pain accompanied by a right-sided occipital headache.[ncbi.nlm.nih.gov]
Hodgkin's Disease
  • Initially, it was thought to be a cerebral recurrence of the Non-Hodgkin's disease. Direct questioning revealed a long history of erectile dysfunction with loss of libido.[ndcn.ox.ac.uk]
Intermittent Claudication
  • A 70-year-old man was referred with intermittent claudication of the right lower extremity. Angiography and computed tomography demonstrated that this symptom was due to occlusion of the PSA.[ncbi.nlm.nih.gov]
Pallor
  • Owing to the carotid aneurysm, she developed an asymmetric vertical cup-to-disc ratio above 0.2, and marked inferotemporal neuronal rim loss and pallor of the residual rim were noted in the left disc.[ncbi.nlm.nih.gov]
Dysphagia
  • Here we report a case of a left internal carotid artery aneurysm presenting as an oropharyngeal mass causing dysphagia.[ncbi.nlm.nih.gov]
Vascular Disease
  • Systemic examinations must be performed in patients with PSA in order to scrutinize associated anomalies or vascular disease.[ncbi.nlm.nih.gov]
  • Brill et al ( 4 ) hypothesized that childhood aneurysms can be linked to polycystic kidney disease, collagen vascular disease, subacute bacterial endocarditis, fibromuscular dysplasia, sclerosis, coarctation of the aorta, Marfan's syndrome, syphilis,[spandidos-publications.com]
  • diseases I73.0 Raynaud's syndrome Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.[icd10data.com]
Carotid Bruit
  • Examination may reveal neurological deficits, Horner's syndrome (half of cases), hemiparesis, carotid bruit.[patient.info]
Progressive Loss of Vision
  • The patient was a 68-year-old woman with progressive loss of vision in her left eye. After a diagnosis of left giant ICA aneurysm, she underwent successful trapping with high-flow bypass. No new neurologic deficits were observed after surgery.[ncbi.nlm.nih.gov]
Pulsatile Tinnitus
  • The symptoms associated with lateral extension of the petrous aneurysm into the tympanic cavity include dizziness, hearing loss, vertigo and pulsatile tinnitus ( 13 ).[spandidos-publications.com]
Neck Mass
  • The clinical presentation may be an asymptomatic neck mass or there may be symptoms of upper aerodigestive tract compression.[ncbi.nlm.nih.gov]
  • We describe one such case in a patient with Noonan syndrome who presented with pulsatile neck mass. The diagnostic features and management of the aneurysm and a review of the literature are presented. 2016 BMJ Publishing Group Ltd.[ncbi.nlm.nih.gov]
  • We describe one such case in a patient with Noonan syndrome who presented with pulsatile neck mass. The diagnostic features and management of the aneurysm and a review of the literature are presented. Published by the BMJ Publishing Group Limited.[ncbi.nlm.nih.gov]
Suggestibility
  • However, subsequent pituitary MRI suggested an internal carotid aneurysm, which was confirmed by an angioresonance imaging of cerebral vessels.[ncbi.nlm.nih.gov]
  • This case suggests that the possibility of an aneurysm should always be considered if a SOH is suspected, especially when it is huge and close to the ICA.[ncbi.nlm.nih.gov]
  • The patient's cerebrospinal fluid exhibited an elevated protein level at 46 mg/dL; however, no other findings suggested another underlying disease.[ncbi.nlm.nih.gov]
  • Our report and some other reports of Parry-Romberg syndrome with cerebral aneurysms suggest the hypothesis that Parry-Romberg syndrome could be related to some inflammatory causes such as an autoimmune disease.[ncbi.nlm.nih.gov]
  • The optimal treatment of aneurysm-induced ONP remains controversial; however, present study suggests both procedures are beneficial for achieving functional recovery of ONP.[ncbi.nlm.nih.gov]
Dysarthria
Encephalopathy
  • The patient was therefore diagnosed with contrast-induced encephalopathy after coil embolization.[ncbi.nlm.nih.gov]

Workup

  • When treating intrasellar masses with the slightest suspicion of a nonpituitary origin, further workup should be considered.[ncbi.nlm.nih.gov]
Hyperprolactinemia
  • Sellar and parasellar masses blocking inhibitory hypothalamic dopaminergic tonus can produce hyperprolactinemia.[ncbi.nlm.nih.gov]

Treatment

  • RESULTS: In the literature, factors linked to poorer outcome were age, vascular risk factors, initial ONP severity and delay before treatment; better recovery was associated with surgical treatment.[ncbi.nlm.nih.gov]
  • RESULTS: Average radiation dose with PED treatment was 2840 213 mGy and 4010 708 mGy with traditional coiling techniques (p 0.048; 29% decrease with PED).[ncbi.nlm.nih.gov]
  • Mean intervals between the onset and treatment were significantly longer in microsurgical group (18.2 days) than in endovascular group (3.5 days).[ncbi.nlm.nih.gov]
  • Abstract Many treatments for posttraumatic, skull base aneurysms have been described.[ncbi.nlm.nih.gov]
  • CONCLUSION: Early treatment is recommended when the visual and ophthalmologic symptoms are present because treatment delay is a risk factor for nonimprovement of symptoms. Copyright 2016 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]

Prognosis

  • BACKGROUND: Aneurysms at the posterior face of the internal carotid artery can lead to oculomotor nerve palsy (ONP) with an uncertain prognosis of recovery post-treatment.[ncbi.nlm.nih.gov]
  • Differential diagnosis of atypical vascular mass lesions should include neoplasm, because initial radical resection may be the key to achieve a better prognosis. Copyright 2012 Society for Vascular Surgery. Published by Mosby, Inc.[ncbi.nlm.nih.gov]
  • Clinical course and prognosis of temporal lobe epilepsy survey of 666 patients. Brain. 1971. 94: 173-90 4. Kuba R, Krupa P, Okacova L, Rektor I.[surgicalneurologyint.com]
  • Goldenberg-CohenN, CurryC, MillerNR, TamargoRJ, Murphy KPJ (2004) Long term visual and neurological prognosis in patients with treated and untreated cavernous sinus aneurysms.JNeurolNeurosurg Psychiatry 75:863-867 Higashida RT, Halbach VV, Dowd C, Barnwell[omicsonline.org]

Etiology

  • Parry-Romberg syndrome or progressive facial hemiatrophy is a rare clinical entity of an unknown etiology. We present the case of a 56-year-old woman with Parry-Romberg syndrome and a giant internal carotid artery aneurysm.[ncbi.nlm.nih.gov]
  • This is the first case that describes mutual contribution of cystic medial degeneration and ICA kinking in carotid aneurysm disease etiology successfully treated by aneurysm resection.[ncbi.nlm.nih.gov]
  • They also show that few phenotypes are specific for a genotypic disorder and highlight the importance of analysing different etiologies for aneurysm formation and anatomical disposition when taking treatment strategy decisions.[ncbi.nlm.nih.gov]
  • Conclusion: Epistaxis related to internal carotid artery aneurysm is quite rare but it is important to consider aneurysms in the etiology of epistaxis. Which may be fatal if the cause of nasal bleeding cannot be identified.[omicsonline.org]
  • This case suggests that in order to form a correct diagnosis, diseases with rare etiology should be considered and the examination should be performed in detail to avoid misdiagnosis and incorrect treatment.[spandidos-publications.com]

Pathophysiology

  • We examined the pathophysiology underlying the development of olfactory hallucinations. We found craniotomy clipping and focal resection to be useful from the standpoint of seizure control.[surgicalneurologyint.com]

Prevention

  • Coil embolization of the aneurysm and parent artery occlusion for the posttraumatic direct CCF was a good option to manage the abducens nerve palsy and to prevent postoperative hyperperfusion.[ncbi.nlm.nih.gov]
  • To prevent redilation, a tubular polyester external stent was fitted around the diseased segment.[ncbi.nlm.nih.gov]
  • This case of internal carotid artery aneurysm with a perforating artery arising from the aneurysm dome shows that sacrifice of the perforator may be necessary to prevent rebleeding.[ncbi.nlm.nih.gov]
  • The surgical ICAA management is necessary to prevent severe complications. In cases of aneurysm extension to the skull base, double mandibular osteotomy is a safe technique that facilitates aneurysm exposure and control.[ncbi.nlm.nih.gov]
  • Prevention See the separate Primary Prevention of Cardiovascular Disease and Cardiovascular Risk Assessment articles.[patient.info]

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