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Extracranial internal carotid artery pseudoaneurysm in a two-year-old child: case report

Published online by Cambridge University Press:  20 April 2016

M Roos  and
I Butler
M Roos*
Affiliation:
Department of Otorhinolaryngology, University of the Free State, Bloemfontein, South Africa
I Butler
Affiliation:
Department of Otorhinolaryngology, University of the Free State, Bloemfontein, South Africa
*
Address for correspondence: Dr Marileen Roos, Department of Otorhinolaryngology, University of the Free State, Private Bag X20660, Bloemfontein 9300, South Africa E-mail: [email protected]
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Abstract

Background:

Extracranial internal carotid artery pseudoaneurysm is very rare in children.

Method:

This paper discusses the case of a boy, aged two years and six months, who presented with an enlarging neck mass and unilateral bloody otorrhoea. Special investigations revealed an extracranial internal carotid artery pseudoaneurysm.

Results:

The patient made a full recovery after endovascular occlusion of the internal carotid artery and pseudoaneurysm using coils. At six months’ follow up, the internal carotid artery and pseudoaneurysm remained excluded from the circulation. The patient did not display any neurological deficits during hospital stay or follow up.

Conclusion:

This paper reports on one of the youngest patients documented to date who presented with an internal carotid artery pseudoaneurysm, possibly secondary to ear infection. Although rare, this condition should be excluded in children presenting with a mass of the neck or pharynx because of the dire consequences if left undiagnosed and untreated.

Keywords

Carotid PseudoaneurysmChildEndovascular ProceduresInfectionEar
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 6 , June 2016 , pp. 596 - 599
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Requejo, F, Sierre, S, Lipsich, J, Zuccaro, G. Endovascular treatment of post-pharyngitis internal carotid artery pseudoaneurysm with a covered stent in a child: a case report. Childs Nerv Syst 2013;29:1369–73Google Scholar
2 Extracranial carotid artery aneurysm. In: http://www.uptodate.com/contents/extracranial-carotid-artery-aneurysm [10 June 2015]Google Scholar
3 Garcia-Monaco, RD, Kohan, AA, Martinez-Corvalan, MP, Cacchiarelli, N, Peralta, O, Wahren, CG. Thrombin injection failure with subsequent successful stent-graft placement for the treatment of an extracranial internal carotid pseudoaneurysm in a 5-year-old child. Cardiovasc Intervent Radiol 2012;35:704–8Google Scholar
4 Pourhassan, S, Grotemeyer, D, Fokou, M, Heinen, W, Balzer, K, Ramp, U et al. Extracranial carotid arteries aneurysms in children: single-center experiences in 4 patients and review of the literature. J Pediatr Surg 2007;42:1961–8Google Scholar
5 Pulli, R, Dorigo, W, Pratesi, G, Fargion, A, Pratesi, C. Single-center experience on endovascular repair of noninfected extracranial internal carotid artery pseudoaneurysms. Ann Vasc Surg 2013;27:672.e13–17Google Scholar
6 Padayachy, V, Robbs, JV. Carotid artery aneurysms in patients with human immunodeficiency virus. J Vasc Surg 2012;55:331–7Google Scholar
7 Rosset, E, Albertini, J, Magnan, PE, Ede, B, Thomassin, JM, Branchereau, A. Surgical treatment of extracranial internal carotid artery aneurysms. J Vasc Surg 2000;31:713–23Google Scholar