Decrinis M, Aschauer M, Lafer M, Stark G
Abteilung für Angiologie der Medizinischen Universitätsklinik, Radiologische Universitätsklinik Karl-Franzens Universität Graz.
Vasa. 1996;25(4):362-7.
A now 92-year-old patient presented in 1990 with a massive 6 x 4 x 4 cm aneurysm of the left internal carotid artery which completely occluded the left oro- and nasopharynx. The main complaint of dysphagia was not only a consequence of the narrowed pharynx but was also due to a palsy of the glosso-pharyngeal nerve and caused one to two episodes of aspiration pneumonia per year. The patient could not be operated on because the aneurysm extended to the base of the skull. Remarkably the patient never experienced a cerebral ischemic event and during a follow-up of five years the aneurysm did not increase in size and partial thrombosis of the aneurysm was never detected. Thus conservative management seems feasible, when partial thrombosis of the aneurysm can be ruled by CT-examination.
一位现年92岁的患者于1990年就诊，患有一个巨大的6×4×4厘米的左颈内动脉瘤，该动脉瘤完全阻塞了左口咽和鼻咽。吞咽困难的主要症状不仅是咽部狭窄的结果，还归因于舌咽神经麻痹，每年导致一到两次吸入性肺炎发作。由于动脉瘤延伸至颅底，该患者无法进行手术。值得注意的是，该患者从未经历过脑缺血事件，在五年的随访中，动脉瘤大小未增加，也从未检测到动脉瘤部分血栓形成。因此，当通过CT检查可以排除动脉瘤部分血栓形成时，保守治疗似乎是可行的。
