Extracranial internal carotid aneurysm treated with a covered stent in an infant.

IF 1.7 4区医学 Q4 NEUROSCIENCES

International Journal of Neuroscience Pub Date : 2024-11-01 Epub Date: 2023-11-09 DOI:10.1080/00207454.2023.2277665

David Dimitris Chlorogiannis, Athina Maria Aloizou, Theodore Mavridis, Angeliki Gkaifyllia, Maria Politi, Wolfgang Reith, Panagiotis Papanagiotou

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引用次数: 0

Abstract

Background: Extracranial internal carotid aneurysms consist a rare pathology with an overall incidence less than 1% in the general population, and warrant treatment due to their association with cerebrovascular events and neurological complications. The incidence is even lower in the pediatric population.

Case report: A 14-month infant presented in our clinic with neck swelling of unknown origin, with subsequent MR imaging revealing an extracranial internal carotid aneurysm. Due to the patient's age and risk of surgical complications, the decision to proceed with endovascular repair with stent placement and complete exclusion of the aneurysm from the circulation was made, after multidisciplinary consultation.

Results: In the pediatric population, pediatric population, endovascular stent placement can be considered at least as a last resort treatment when surgical access harbors significant risks or is impossible.

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应用覆膜支架治疗婴儿颅外颈内动脉瘤。

颅外颈内动脉瘤是一种罕见的病理，在普通人群中总发病率低于1%，由于其与脑血管事件和神经并发症有关，因此需要治疗。儿科人群的发病率更低。在我们诊所，一名14个月大的婴儿出现不明原因的颈部肿胀，随后的MR成像显示颅内颈内动脉瘤。由于患者的年龄和手术并发症的风险，在多学科会诊后，决定进行血管内修复，植入支架并将动脉瘤完全排除在循环之外。在儿科人群中，当手术进入存在重大风险或不可能时，血管内支架置入至少可以被视为最后的治疗手段。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Neuroscience 医学-神经科学

CiteScore

5.10

自引率

0.00%

发文量

132

审稿时长

2 months

期刊介绍： The International Journal of Neuroscience publishes original research articles, reviews, brief scientific reports, case studies, letters to the editor and book reviews concerned with problems of the nervous system and related clinical studies, epidemiology, neuropathology, medical and surgical treatment options and outcomes, neuropsychology and other topics related to the research and care of persons with neurologic disorders. The focus of the journal is clinical and transitional research. Topics covered include but are not limited to: ALS, ataxia, autism, brain tumors, child neurology, demyelinating diseases, epilepsy, genetics, headache, lysosomal storage disease, mitochondrial dysfunction, movement disorders, multiple sclerosis, myopathy, neurodegenerative diseases, neuromuscular disorders, neuropharmacology, neuropsychiatry, neuropsychology, pain, sleep disorders, stroke, and other areas related to the neurosciences.