Vávrová M, Slezácek I, Vávra P, Karlová P, Procházka V
Municipal Hospital Department of Radiology, Ostrava-Fifejdy, Czech Republic.
Vasa. 2011 Nov;40(6):491-4. doi: 10.1024/0301-1526/a000153.
Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.
颈内动脉假性动脉瘤是深部颈部感染的一种罕见并发症。作者报告了一例17岁男性病例，该患者因急性扁桃体炎就诊于耳鼻喉科，需要进行扁桃体切除术。术后四周，患者因进行性吞咽困难、牙关紧闭和头痛加重再次入院。计算机断层扫描显示颅外段左侧颈内动脉假性动脉瘤。首先植入了裸支架，实现了假性动脉瘤的完全闭塞。血管内治疗方法是治疗颈内动脉假性动脉瘤的一种快速且安全的方法。
