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Congenital internal carotid artery aneurysm
P Hazarika1, J S Sahota, D R Nayak
1Department of E.N.T., Kasturba Medical College Hospital, Manipal, India.
International Journal of Pediatric Otorhinolaryngology
|December 1, 1993
Summary
Congenital internal carotid artery aneurysms are rare, especially in the extracranial region. A lateral skull base approach provided easy access for treating a pediatric case at the skull base.
Area of Science:
- Vascular Surgery
- Neurology
- Pediatric Neurosurgery
Background:
- Congenital internal carotid artery aneurysms are uncommon, with most occurring intracranially.
- Extracranial presentations, particularly at the skull base, are exceptionally rare.
Observation:
- A 13-year-old female presented with a congenital aneurysm of the extracranial internal carotid artery at the skull base.
- The infratemporal fossa approach was utilized for surgical management.
Findings:
- The infratemporal fossa approach facilitated excellent exposure of the aneurysm's superior aspect.
- Surgical intervention involved drilling the carotid canal to mobilize the aneurysm and apply a vascular clip prior to dissection.
Implications:
- This case highlights the feasibility and effectiveness of the lateral skull base approach for managing rare extracranial internal carotid artery aneurysms.
- The infratemporal fossa approach offers a valuable surgical option for complex skull base vascular lesions in pediatric patients.