Zhong Yu-Lin, Feng Jia-Ping, Luo Hui, Gong Xue-Hao, Wei Zhang-Hong
Department of Ultrasound, The Second Clinical College of Jinan University, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China.
Department of Ultrasound, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China.
World J Clin Cases. 2022 Aug 6;10(22):8025-8033. doi: 10.12998/wjcc.v10.i22.8025.
Carotid artery pseudoaneurysm (PSA) is infrequently encountered in clinical settings. Internal carotid artery (ICA) PSA complicated with ischemic stroke is rare. PSAs are typically caused by iatrogenic injury, trauma, or infection. The underlying mechanisms of spontaneous PSA formation are not well characterized. We report a healthy young man who presented with stroke as a complication of spontaneous PSA of the left ICA.
A 30-year-old man working as a ceiling decoration worker was hospitalized due to sudden-onset speech disorder and right lower extremity weakness. Medical history was unremarkable. Brain computed tomography revealed ischemic stroke. Digital subtraction angiography showed a left ICA PSA with mild stenosis. The patient was conservatively managed with oral anticoagulation and antiplatelet therapy. He recovered well and was discharged. The patient was in good condition during follow-up.
The occupational history of patient should be taken into consideration while evaluating the etiology of spontaneous ICA PSA in young people with stroke.
颈动脉假性动脉瘤（PSA）在临床中较少见。颈内动脉（ICA）PSA并发缺血性卒中罕见。PSA通常由医源性损伤、创伤或感染引起。自发性PSA形成的潜在机制尚不明确。我们报告一名健康年轻男性，其因左侧ICA自发性PSA并发卒中就诊。
一名30岁从事天花板装饰工作的男性因突发言语障碍和右下肢无力入院。病史无特殊。脑部计算机断层扫描显示为缺血性卒中。数字减影血管造影显示左侧ICA PSA伴轻度狭窄。患者接受口服抗凝和抗血小板治疗，保守治疗。恢复良好后出院。随访期间患者状况良好。
在评估年轻卒中患者自发性ICA PSA的病因时，应考虑患者的职业史。
