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Published on: April 21, 2017

Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient. Case report

Stacey Quintero Wolfe1, Nils Mueller-Kronast, Mohammad Ali Aziz-Sultan

  • 1Department of Neurosurgery, University of Miami, FL 33136, USA. staceyquintero@hotmail.com <staceyquintero@hotmail.com>

Journal of Neurosurgery. Pediatrics
|March 21, 2008
PubMed

Insights

Pediatric carotid artery aneurysms are rare. Endovascular treatment with a covered stent successfully excluded a large internal carotid artery pseudoaneurysm, restoring neurological function in a child.

Area of Science:

  • Vascular Surgery
  • Pediatric Neurology
  • Interventional Cardiology

Background:

  • Extracranial carotid artery (CA) aneurysms are uncommon in children, often linked to connective tissue disorders, trauma, or infection.
  • This case highlights a large, calcified internal carotid artery pseudoaneurysm of unknown etiology in a pediatric patient.

Observation:

  • The child presented with an embolic stroke due to the pseudoaneurysm.
  • Surgical excision was deemed too difficult due to the lesion's distal location.
  • Carotid artery ligation was not an option due to a failed balloon occlusion test.

Findings:

  • Endovascular treatment using a covered stent was performed after anticoagulation therapy.
  • The covered stent successfully excluded the aneurysm from circulation.
  • The patient experienced a full recovery of neurological function with no complications.

Implications:

  • Endovascular stenting offers a viable alternative for managing complex pediatric carotid artery aneurysms.
  • This approach can be effective when surgical intervention is high-risk or contraindicated.
  • Successful exclusion of the aneurysm led to excellent long-term patient outcomes.

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