Smith M, Johnson P
Department of Surgery, Radiology, Anaesthesia and Intensive Care, Faculty of Medical Sciences, The University of the West Indies, Kingston 7,Jamaica, West Indies.
West Indian Med J. 2013 Sep;62(7):667-71. doi: 10.7727/wimj.2012.072.
Extracranial internal carotid artery aneurysms are rare. They may result in thromboembolic phenomena but spontaneous rupture is rare. The clinical presentation may be an asymptomatic neck mass or there may be symptoms of upper aerodigestive tract compression. The diagnosis may be suspected on clinical examination but radiologic investigations play an important role in diagnosis as well as in assessing the risk of complications of surgical intervention. We present a case of a patient with an extracranial internal carotid artery aneurysm, along with a short review of the treatment options.
颅外颈内动脉瘤较为罕见。它们可能导致血栓栓塞现象,但自发破裂很少见。临床表现可能是无症状的颈部肿块,也可能有上呼吸道消化道受压的症状。临床检查时可能会怀疑诊断,但放射学检查在诊断以及评估手术干预并发症风险方面也起着重要作用。我们报告一例颅外颈内动脉瘤患者的病例,并对治疗选择进行简要综述。