scholarly journals Spontaneous Thrombosis of Intracavernous Internal Carotid Artery Aneurysm and Parent Artery Occlusion in Patients With Positive Balloon Test Occlusion. Two Case Reports.

2001 ◽  
Vol 41 (9) ◽  
pp. 436-441 ◽  
Author(s):  
Ryu KUROKAWA ◽  
Yoshiaki KUROSHIMA ◽  
Kazunari YOSHIDA ◽  
Takeshi KAWASE
Keyword(s):  
Internal Carotid ◽  
Case Reports ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Spontaneous Thrombosis ◽  
Carotid Artery Aneurysm ◽  
Balloon Test Occlusion ◽  
Internal Carotid Artery Aneurysm ◽  
Parent Artery Occlusion

scholarly journals True Mycotic Aneurysms: A Report of Three Patients with Internal Carotid Artery Aneurysm and Mucormycosis, and Literature Review

2021 ◽  
Author(s):  
Mahtab Rostamihosseinkhani ◽  
Etrat Hooshmandi ◽  
Masoud Janipour ◽  
Nima Fadakar ◽  
Vahid Reza Ostovan ◽  
...  
Keyword(s):  
Internal Carotid ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Aneurysm Formation ◽  
Carotid Artery Aneurysm ◽  
Endovascular Interventions ◽  
Internal Carotid Artery Aneurysm ◽  
Parent Artery Occlusion ◽  
Diagnostic Angiography

Abstract Background Aneurysm formation of internal carotid arteries (ICA) in patients with mucormycosis is a scarce phenomenon. However, the prevalence of rhino-cerebral mucormycosis has been reported to increase after the coronavirus disease 2019 (COVID-19) pandemic. Methods Three patients with stroke and subarachnoid hemorrhage due to ICA aneurysm after the involvement of adjacent paranasal sinuses with mucormycosis were presented. All patients were recruited from Namazi and Khalili hospitals affiliated with Shiraz University of Medical Sciences in Iran from April 2021 to May 2021. Results They had a history of diabetes and corticosteroid use. Also, one of them was treated with imatinib. Two out of three patients were infected with SARS-CoV-2 infection before developing mucormycosis. Two patients had diagnostic angiography before endovascular intervention. One patient did not undergo any therapeutic intervention due to total artery occlusion, whereas the other patient experienced a successful parent artery occlusion by coiling, and only this patient survived. Although all patients received antifungal treatment and surgical debridement, two of them died. Conclusions In the patients with rhino-cerebral mucormycosis evolving of aneurysm should be promptly and meticulously investigated by magnetic resonance angiography (MRA) and computed tomography angiography (CTA). As this type of aneurysms was very fast-growing, as soon as the involvement of sphenoid sinus was detected, the possibility of ICA aneurysm formation should always be kept in mind. If the patient developed an aneurysm, prompt intensive antifungal therapy and therapeutic endovascular interventions such as stenting, coiling, or sacrificing should be considered as soon as possible to optimize outcomes.

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