Abstract |
Internal carotid artery (ICA) lesions in the parapharyngeal space (a dissection and a pseudoaneurysm) may present as isolated lower cranial nerves (IX, X, XI, and XII) palsy (Collet-Sicard syndrome). Some arteriopathies such as fibromuscular dysplasia and tortuosity make a vessel predisposed to dissection. Extreme vessel tortuosity makes the treatment by a stent graft impossible. Two Silk stents were used in a 46 year-old man with left lower cranial nerves (IX-XII) palsy for the treatment of left ICA spontaneous dissection with pseudoaneurysm. A follow-up angiogram 5 months later confirmed pseudoaneurysm thrombosis and patency of the left ICA. The patient recovered completely from the deficits.
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Authors | Kamil Zeleňák, Jana Zeleňáková, Július DeRiggo, Egon Kurča, Ema Kantorová, Hubert Poláček |
Journal | Cardiovascular and interventional radiology
(Cardiovasc Intervent Radiol)
Vol. 36
Issue 4
Pg. 1147-50
(Aug 2013)
ISSN: 1432-086X [Electronic] United States |
PMID | 23070099
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Aneurysm, False
(complications, diagnostic imaging, surgery)
- Blood Vessel Prosthesis Implantation
(methods)
- Carotid Artery, Internal, Dissection
(complications, diagnostic imaging, surgery)
- Cerebral Angiography
(methods)
- Cranial Nerve Diseases
(diagnostic imaging, etiology, surgery)
- Endovascular Procedures
(instrumentation, methods)
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Prosthesis Design
- Rare Diseases
- Risk Assessment
- Silk
- Stents
- Syndrome
- Treatment Outcome
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