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Multiple asymptomatic cervical cephalic aneurysms

P A Sorek1, R Silbergleit

  • 1Department of Radiology, Henry Ford Hospital, Detroit, MI 48202.

AJNR. American Journal of Neuroradiology
|January 1, 1993
PubMed
Summary
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This case report details a rare instance of pseudoaneurysms in the extracranial carotid and vertebral arteries. These vascular abnormalities in a 35-year-old woman were likely caused by trauma from seizures.

Area of Science:

  • Vascular Surgery
  • Neurology
  • Radiology

Background:

  • Pseudoaneurysms, or false aneurysms, are a rare vascular complication.
  • Extracranial carotid and vertebral artery pseudoaneurysms are particularly uncommon.
  • Trauma is a known, though infrequent, cause of pseudoaneurysm formation.

Observation:

  • A 35-year-old woman presented with clinical and radiologic evidence of pseudoaneurysms.
  • The pseudoaneurysms involved the extracranial segments of the carotid and vertebral arteries.
  • The presumed etiology was iatrogenic or traumatic injury secondary to seizures.

Findings:

  • Detailed clinical presentation and diagnostic imaging findings are described.
  • The case highlights the importance of considering vascular injury in patients with a history of trauma, even if seemingly minor.

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  • Radiologic features, including angiography, are crucial for diagnosis.

    • Implications:

    • This case expands the understanding of potential vascular complications following seizures.
    • It underscores the need for vigilance in diagnosing pseudoaneurysms in the extracranial arteries.
    • Early recognition and appropriate management are essential to prevent serious neurological events.