Perie S, Faintuch J M, Angelard B, Wallays C, Lacau St Guily J
Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, Hôpital Tenon, Paris.
Ann Otolaryngol Chir Cervicofac. 1993;110(5):271-6.
Three cases of aberrant (elongated and tortuous) carotid arteries of the neck are reported. In 2 patients the carotid artery abnormalities were discovered at diagnostic work-up for: 1) sudden deafness, 2) persistent pharyngeal discomfort. Both patients presented a pulsating bulge in a pharyngeal wall with no lesion of the mucosa. In the third patient, the arterial abnormality was a peroperative discovery. All patients presented factors of risk for vascular disease. In the 2 symptomatic patients, Doppler U.S. and magnetic resonance imaging made it possible to confirm the diagnosis and to eliminate other vascular or tumoral disorders. The indications and limitations of the various available diagnosis imaging procedures are assessed.
报告了3例颈部异常（延长和迂曲）颈动脉病例。在2例患者中，颈动脉异常是在诊断检查时发现的，原因分别为：1）突发性耳聋，2）持续性咽部不适。两名患者的咽壁均出现搏动性隆起，黏膜无病变。在第3例患者中，动脉异常是在手术中发现的。所有患者均有血管疾病风险因素。在2例有症状的患者中，多普勒超声和磁共振成像能够确诊并排除其他血管或肿瘤性疾病。评估了各种可用诊断成像程序的适应证和局限性。
