Acute stroke secondary to internal carotid artery pseudoaneurysm: MRI findingsand treatment with endovascularcoiling

Mohammad Wasay, Alper Dai, Neeraj Dubey, Saadat Kamran

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Internal carotid artery pseudoaneurysms are uncommon. We report a young man with history of trivialtrauma who presented with middle cerebral artery stroke.Head CT scan revealed a right parapharyngeal mass. MRI confirmed the diagnosis of internal carotidpseudoaneurysm. Cerebral angiogram showed dissection of internal carotid artery with a large pseudoaneurysm and almost complete occlusion of vessel distal to aneurysm.Vessel was obliterated by fibercoiling and gluing byendovascular technique to diminish risk of furthere mbolization. MRI characteristics of carotid pseudoaneurysms and role of endovascular treatment arediscussed.

Original languageUndefined/Unknown
JournalDepartment of Medicine
Publication statusPublished - 1 Jul 2007

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