Giant mycotic aneurysm of the internal carotid artery in a child: endovascular treatment
Giant mycotic aneurysm of the internal carotid artery in a child: endovascular treatment
复制标题
儿童颈内动脉巨大霉菌性动脉瘤：血管内治疗
DOI：
10.1007/s00247-002-0844-y
复制
发表时间：
2003
影响因子：
2.3
通讯作者：
D. Boal
中科院分区：
文献类型：
--
作者：
C. Glaiberman;R. Towbin;D. Boal
我们报告一个儿童左侧颈内动脉巨大肌层动脉瘤的病例，是由于颈部深部感染的直接延伸。这种病变危及生命，如果没有识别，可能会使患者面临不必要的活检或引流的风险。诊断和治疗计划在很大程度上依赖于横截面成像，血管造影术是经常必要的。这个病例的独特性有两个原因：（1）我们第一次提出了MRI结果，（2）我们描述了手术结扎的替代方法-神经介入栓塞治疗。我们成功地进行了微创经导管栓塞术，以闭塞异常的左颈内动脉段。
We present a case of a giant mycotic aneurysm of the left internal carotid artery in a child, the result of direct extension of a deep neck space infection. This lesion is life threatening and may put the patient at risk of unwarranted biopsy or drainage if not recognized. Diagnosis and treatment planning rely heavily on cross-sectional imaging, and angiography is frequently necessary. This case is unique for two reasons: (1) we present for the first time the MRI findings and (2) we describe an alternative to surgical ligation -- neurointerventional embolotherapy. Minimally invasive transcatheter embolization was successfully performed on our patient to occlude the abnormal left internal carotid artery segment.