Acute stroke secondary to internal carotid artery pseudoaneurysm: MRI findings and treatment with endovascular coiling. | [Journal of Pakistan Medical Association • 2007]

Author(s):

1. Mohammad Wasay: Department of Neurology, The Aga Khan University, Karachi, Pakistan

2. Alper Dai: Gaziantep University, Gaziantep, Turkey

3. Neeraj Dubey: Dent Neurologic Institute, Buffalo, NY, USA

4. Saadat Kamran: Hamad Medical Corporation, Doha, Qatar

Abstract:

Internal carotid artery pseudoaneurysms are uncommon. We report a young man with history of trivial trauma who presented with middle cerebral artery stroke. Head CT scan revealed a right parapharyngeal mass. MRI confirmed the diagnosis of internal carotid pseudoaneurysm. Cerebral angiogram showed dissection of internal carotid artery with a large pseudoaneurysm and almost complete occlusion of vessel distal to aneurysm. Vessel was obliterated by fibercoiling and gluing byendovascular technique to diminish risk of further embolization. MRI characteristics of carotid pseudoaneurysms and role of endovascular treatment are discussed.

Page(s): 377-378

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 57, Issue: 7, Year: 2007

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