Reis Fernando, Reis Luis Fernando, Ferraz Filho José Roberto L, de Godoy José Maria Pereira
Medicine School of São Jose do Rio Preto-FAMERP, SP, Brazil.
Acta Otolaryngol. 2010;130(1):190-2. doi: 10.3109/00016480902930466.
Pseudoaneurysms of the internal carotid artery are uncommon and normally secondary to trauma of the cervical region. Frequently it is the throat and neck doctor who evaluates these patients. We report on the case of a 15-year-old patient with active bleeding via the oral cavity, headache, and later hematoma in the cervical region. Arteriography demonstrated a pseudoaneurysm of the internal carotid artery. Angiography demonstrated successful embolization after the placement of coils and thus endovascular procedures are an alternative treatment for pseudoaneurysms of the internal carotid arteries in adolescents.
颈内动脉假性动脉瘤并不常见,通常继发于颈部创伤。通常由耳鼻喉科医生对这些患者进行评估。我们报告了一例15岁患者,该患者出现口腔活动性出血、头痛,随后颈部出现血肿。动脉造影显示颈内动脉假性动脉瘤。血管造影显示在放置线圈后成功栓塞,因此血管内介入治疗是青少年颈内动脉假性动脉瘤的一种替代治疗方法。