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

M Roos1, I Butler1

  • 1Department of Otorhinolaryngology,University of the Free State,Bloemfontein,South Africa.

The Journal of Laryngology and Otology
|April 21, 2016
PubMed

Insights

This case study highlights a rare extracranial internal carotid artery pseudoaneurysm in a young child, successfully treated with endovascular coiling. Early diagnosis is crucial for preventing severe complications in pediatric patients.

Area of Science:

  • Pediatric vascular surgery
  • Interventional neuroradiology
  • Vascular anomalies in children

Background:

  • Extracranial internal carotid artery pseudoaneurysm is an exceptionally rare condition in pediatric populations.
  • This case highlights the diagnostic challenges and management of this rare vascular anomaly in a young child.

Observation:

  • A two-year-old boy presented with a rapidly growing neck mass and unilateral bloody otorrhoea.
  • Diagnostic imaging confirmed the presence of an extracranial internal carotid artery pseudoaneurysm.

Findings:

  • Successful endovascular occlusion of the internal carotid artery pseudoaneurysm was achieved using coils.
  • The patient demonstrated a full recovery with no neurological deficits at six months' follow-up.
  • The treated pseudoaneurysm and internal carotid artery remained excluded from circulation post-procedure.

Implications:

  • This case underscores the importance of considering extracranial internal carotid artery pseudoaneurysm in the differential diagnosis of neck masses or otorrhoea in children.
  • Prompt diagnosis and appropriate endovascular treatment can lead to favorable outcomes and prevent potentially devastating neurological sequelae.
  • This report contributes to the limited literature on pediatric pseudoaneurysms, emphasizing the need for increased awareness among clinicians.
Abstract

Keywords:
Carotid PseudoaneurysmChildEarEndovascular ProceduresInfection

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