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[Extracranial internal carotid artery aneurysm].
D Bakhos1, E Lescanne, J-Ph Cottier
1Service d'ORL et de chirurgie cervico-faciale, CHU Bretonneau, 2 boulevard Tonellé 37000 Tours, France.
Summary
Extracranial internal carotid artery aneurysms are rare. This case highlights diagnosis via CT imaging and management with anticoagulation when endovascular or surgical options are declined.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
Background:
- Extracranial internal carotid artery aneurysms are exceptionally rare vascular conditions.
- Diagnosis often relies on advanced imaging techniques.
Observation:
- An 89-year-old female presented with a peritonsillar mass.
- Physical examination identified a pulsatile parapharyngeal mass.
- Computed tomography (CT) confirmed an extracranial internal carotid artery aneurysm.
Findings:
- The patient declined endovascular or surgical interventions.
- Anticoagulation therapy was initiated as a management strategy.
- Review of imaging and clinical data is crucial for understanding these aneurysms.
Implications:
- Endovascular treatment presents a viable alternative to open surgery for these aneurysms.
- Accurate diagnosis through CT and MRI is essential.
- Management strategies should be individualized based on patient factors and treatment availability.