An old dissecting aneurysm of the internal carotid artery presenting as acute stroke.

Abstract:

BACKGROUND:In carotid artery dissections, local and ischemic manifestations usually occur within days or weeks. In some cases, persistent extracranial aneurysms cause thromboembolic complications even years after the initial event. The management of these aneurysms is still controversial. CASE DESCRIPTION:We report the case of a 74 year old woman with a stroke due to a long standing giant dissecting aneurysm of the internal carotid artery. Medical management was insufficient to stop ongoing embolization. She was finally successfully treated with stenting. CONCLUSION:Carotid artery aneurysms can become symptomatic even after many years of silence. Once medical therapy fails, endovascular treatment can avoid recurrent embolization.

journal_name

Acta Neurol Belg

journal_title

Acta neurologica Belgica

authors

Peeters A,Goffette P,Dorban S,Sindic CJ,Cosnard G

keywords:

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

179-82

issue

3

eissn

0300-9009

issn

2240-2993

journal_volume

103

pub_type

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