Countee R W, Vijayanathan T, Barrese C
Stroke. 1979 Mar-Apr;10(2):144-7. doi: 10.1161/01.str.10.2.144.
Extracranial carotid artery aneurysms are uncommon lesions with protean manifestations. This report describes a patient in whom the presenting symptom of a right carotid aneurysm was recurrent right hemisphere ischemic attacks when he turned his head to the left. The angiographic and operative findings explained the mechanism(s) of his symptoms. The importance of such symptoms is that they should suggest a mechanical etiology and that the probability of a surgically correctable lesion exists. Arteriography is the only reliable means of making a definitive diagnosis and should be considered early in the evaluation.
颅外颈动脉动脉瘤是一种表现多样的罕见病变。本报告描述了一名患者，其右颈动脉动脉瘤的首发症状是在向左转头时反复出现右半球缺血性发作。血管造影和手术结果解释了其症状的机制。此类症状的重要性在于它们应提示机械性病因，且存在手术可矫正病变的可能性。动脉造影是做出明确诊断的唯一可靠方法，在评估早期就应予以考虑。
