Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient: Case report

Stacey Quintero Wolfe, Nils Mueller-Kronast, Mohammad Ali Aziz-Sultan, Alois Zauner, Sanjiv Bhatia

Research output: Contribution to journalArticle

21 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)240-243
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Volume1
Issue number3
DOIs
StatePublished - Mar 1 2008

Keywords

  • Children
  • Covered stent
  • Endovascular therapy
  • Pseudoaneurysm
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Fingerprint Dive into the research topics of 'Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient: Case report'. Together they form a unique fingerprint.

  • Cite this