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Giant aneurysm of the petrous internal carotid artery: diagnosis and treatment

Published online by Cambridge University Press:  29 June 2007

S. C. Coley*
Affiliation:
Department of Neuroradiology, Atkinson Morley's Hospital, Wimbledon, London SW20 0NE.
A. Clifton
Affiliation:
Department of Neuroradiology, Atkinson Morley's Hospital, Wimbledon, London SW20 0NE.
J. Britton
Affiliation:
Department of Neuroradiology, Atkinson Morley's Hospital, Wimbledon, London SW20 0NE.
*
Address for correspondence: S. C. Coley, Department of Neuroradiology, Atkinson Morley's Hospital, Copse Hill, Wimbledon, London SW20 0NE. Fax: 0181-725-4613

Abstract

We report the case of a giant fusiform aneurysm of the petrous internal carotid artery in a 15-year-old patient who had presented with headache, hearing loss and Horner's syndrome. Definitive radiological diagnosis was made by non-invasive imaging techniques, including magnetic resonance angiography (MRA). The aneurysm was obliterated by endovascular balloon occlusion following successful tolerance of test occlusion of the internal carotid artery.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1998

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References

Berenstein, A., Ransohoff, J., Kupersmith, M., Flamm, E., Graeb, D. (1984) Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries. Functional investigation and embolization. Surgical Neurology 21: 312.CrossRefGoogle ScholarPubMed
Halbach, V. V., Higashida, R. R. T., Hieshima, G. B., Dowd, C. F., Barnwell, S. L., Edwards, M. S. B., Melicharek, M. (1990) Aneurysms of the petrous portion of the internal carotid artery: results of treatment with endovascular or surgical occlusion. American Journal of Neuroradiology 11: 253257.Google ScholarPubMed
Higashida, R. T., Halbach, V. V., Dowd, C., Barnwell, S. L., Dormandy, B., Bell, J., Hieshima, G. (1990) Endovascular detachable balloon embolization therapy of cavernous carotid artery aneurysms: results in 87 cases. Journal of Neurosurgery 72: 857863.CrossRefGoogle ScholarPubMed
Larson, J. L., Tew, J. M., Tomsick, T. A., van Loveren, H. R. (1995) Treatment of aneurysms of the internal carotid artery by intravascular balloon occlusion: long-term follow-up of 58 patients. Neurosurgery 36: 2330.CrossRefGoogle ScholarPubMed
Niimi, Y., Berenstein, A., Setton, A., Kupersmith, M. J. (1996) Occlusion of the internal carotid artery based on a simple tolerance test. Interventional Neuroradiology 2: 289296.CrossRefGoogle ScholarPubMed
Roski, R., Spettzler, R., Nulsen, K. (1981) Late complications of carotid ligation in the treatment of intracavernous aneurysms. Journal of Neurosurgery 56: 583587.CrossRefGoogle Scholar
Wemple, J. B., Smith, G. W. (1966) Extracranial carotid aneurysm. Journal of Neurosurgery 24: 667671.CrossRefGoogle ScholarPubMed