Giant cervical ICA aneurysm: An unusual cauase of recureent strokes - A case series and management algorithm
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 2
Abstract
A 73yearold male patient suffered from recurrent strokes over 2 years An angiogram revealed a giant cervical ICA aneurysm located in the retromandibular region with a tortuous loop of redundant artery anterior to it He was taken up for surgery where the aneurysm was resected and the free ends anastomosed under shunt cover The patient recovered well and was discharged without deficitsAnother 70yearold lady presented with a swelling in the retro mandibular region of the neck associated with fainting episodes every time she opened her mouth wide or chewed Angiographic studies showed a giant retro mandibular ICA aneurysm which was treated with an ECIC bypass with ligation of the aneurysmal sac The patient was discharged without deficits and has hence been living normallyCervical aneurysms are rare and challenging modality to treat for the vascular neurosurgeon These reports highlight the variability of presentation and the choice of modalities available for treatment Selection of the appropriate modality can be challenging Hence we suggest a treatment algorithm for diagnosing as well as treating the disease successfullyKeywords Giant Cervical aneurysm Coiling Surgery
Authors and Affiliations
Sibhi Ganapathy, Swaroop Gopal, Lingaraju T
Keywords
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- EP ID EP490436
- DOI 10.18231/2455-8451.2018.0022
- Views 100
- Downloads 0
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