scholarly journals Endovascular coil embolization for internal carotid artery pseudo-aneurysm after traumatic injury in a young adult: a case report

2013 ◽  
Vol 7 (2) ◽  
pp. 106-110
Author(s):  
Yu MURAKAMI ◽  
Junji MORIYA ◽  
Keita WATANABE ◽  
Satoru IDE ◽  
Atsushi OGASAWARA ◽  
...  
Neurosurgery ◽  
2011 ◽  
Vol 69 (4) ◽  
pp. E1005-E1009 ◽  
Author(s):  
Tsuyoshi Ichikawa ◽  
Shigeru Miyachi ◽  
Takashi Izumi ◽  
Noriaki Matsubara ◽  
Takehiro Naito ◽  
...  

Abstract BACKGROUND AND IMPORTANCE: We present a rare case of fenestration of the left supraclinoid intracranial internal carotid artery with 2 associated aneurysms arising proximally and distally from the fenestration that were successfully treated with endovascular coil embolization. This is the first report of these types of aneurysms treated with coiling alone. CLINICAL PRESENTATION: A 47-year-old woman underwent a diagnostic workup; magnetic resonance angiography incidentally revealed 2 tandem aneurysms at the supraclinoid and paraclinoid portion of the left internal carotid artery. Angiography revealed fenestration of the left supraclinoid internal carotid artery with 2 aneurysms both proximal and distal to the fenestration. The patient underwent endovascular coil embolization of the aneurysms simultaneously. The smaller trunk was intentionally occluded to achieve complete packing of the proximal aneurysm. Both aneurysms were totally occluded, and no neurological deficits developed in the patient. CONCLUSION: Based on previous reports, fenestration has the potential to form an aneurysm, and there seemed to be a relatively high incidence of rupture if accompanied by aneurysm. Coiling is one good option to treat aneurysms and should be considered when multiple aneurysms exist because all aneurysms can be treated simultaneously. Proximal occlusion of the smaller trunk is acceptable because of a retrograde flow from the distal end, even if one exists.


2010 ◽  
Vol 38 (5) ◽  
pp. 358-362 ◽  
Author(s):  
Rei KONDO ◽  
Miiko ITO ◽  
Kenichiro MATSUDA ◽  
Shinjiro SAITO ◽  
Yasuaki KOKUBO ◽  
...  

Nosotchu ◽  
2007 ◽  
Vol 29 (4) ◽  
pp. 527-531 ◽  
Author(s):  
Tomonobu Nakano ◽  
Yoji Goto ◽  
Kazuo Mano ◽  
Takeshi Okamoto ◽  
Hiroshi Ikeda ◽  
...  

2021 ◽  
Vol 19 ◽  
Author(s):  
Aniello Maiese ◽  
Paola Frati ◽  
Alice Chiara Manetti ◽  
Alessandra De Matteis ◽  
Marco Di Paolo ◽  
...  

: Internal carotid artery dissection (ICAD) represents the cause of ictus cerebral in about 20% of all cases of cerebral infarction among the young adult population. ICAD could involve both the extracranial and intracranial internal carotid artery (ICA). It could be spontaneous (SICAD) or traumatic (TICAD). It has been estimated that carotid injuries could complicate the 0,32% of cases of general blunt trauma and the percentage seems to be higher in severe multiple traumas. TICAD is diagnosed when neurological symptoms have already occurred, and it could have devastating consequences, from permanent neurological impairment to death. Thus, even if it is a rare condition, a prompt diagnosis is essential. There are no specific guidelines regarding TICAD screening. TICAD is mainly correlated to motor vehicle accidents (94/227), specifically to car accidents (39/94), and to direct or indirect head and cervical trauma (76/227). Nevertheless, TICAD should be considered when a young adult or middle-aged patient presents after severe blunt trauma. Understanding which kind of traumatic event is most associated with TICAD could help clinicians direct their diagnostic process. Herein, a review of the literature concerning TICAD has been carried out to highlights its correlation with specific traumatic events. As well, a case report is presented to discuss TICAD forensic implications.


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