Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess
The extracranial internal carotid artery aneurysm (EICAA) is an uncommon arterial lesion. Patients typically present with neurologic symptoms resulting from impaired cerebral perfusion and compression symptoms of cranial nerves. Often EICAA presents as a pulsatile neck mass, which is otherwise asymp...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2015/389298 |
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| author | Jacek Brzost Anna M. Cyran Martyna Waniewska Miroslaw J. Szczepanski |
| author_facet | Jacek Brzost Anna M. Cyran Martyna Waniewska Miroslaw J. Szczepanski |
| author_sort | Jacek Brzost |
| collection | DOAJ |
| description | The extracranial internal carotid artery aneurysm (EICAA) is an uncommon arterial lesion. Patients typically present with neurologic symptoms resulting from impaired cerebral perfusion and compression symptoms of cranial nerves. Often EICAA presents as a pulsatile neck mass, which is otherwise asymptomatic.
We present a case of an 84-year-old female, who was initially referred to the Emergency Department for Otolaryngology with suspected peritonsillar abscess. The patient had a history of recent upper airway infection and cardiovascular comorbidities, including hypertension and ischaemic stroke complicated by extensive neurologic deficits. Physical examination revealed a compact, nonpulsatile mass in the lateral parapharyngeal space and local erythema of the mucosa. Duplex Doppler Ultrasonography and Computed Tomography revealed an atherosclerotic aneurysm of the right internal carotid artery, measuring 63×55×88 mm, stretching from the skull base to the angle of the mandible. |
| format | Article |
| id | doaj-art-3084dffe95b44225bbc26fff3065e56f |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-3084dffe95b44225bbc26fff3065e56f2025-02-03T05:57:33ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/389298389298Internal Carotid Artery Aneurysm Mimicking Peritonsillar AbscessJacek Brzost0Anna M. Cyran1Martyna Waniewska2Miroslaw J. Szczepanski3Department of Otorhinolaryngology, Faculty of Medicine and Dentistry, Medical University of Warsaw, Ulica Stepinska 19/25, 00-761 Warsaw, PolandDepartment of Otorhinolaryngology, Faculty of Medicine and Dentistry, Medical University of Warsaw, Ulica Stepinska 19/25, 00-761 Warsaw, PolandDepartment of Otorhinolaryngology, Faculty of Medicine and Dentistry, Medical University of Warsaw, Ulica Stepinska 19/25, 00-761 Warsaw, PolandDepartment of Otorhinolaryngology, Faculty of Medicine and Dentistry, Medical University of Warsaw, Ulica Stepinska 19/25, 00-761 Warsaw, PolandThe extracranial internal carotid artery aneurysm (EICAA) is an uncommon arterial lesion. Patients typically present with neurologic symptoms resulting from impaired cerebral perfusion and compression symptoms of cranial nerves. Often EICAA presents as a pulsatile neck mass, which is otherwise asymptomatic. We present a case of an 84-year-old female, who was initially referred to the Emergency Department for Otolaryngology with suspected peritonsillar abscess. The patient had a history of recent upper airway infection and cardiovascular comorbidities, including hypertension and ischaemic stroke complicated by extensive neurologic deficits. Physical examination revealed a compact, nonpulsatile mass in the lateral parapharyngeal space and local erythema of the mucosa. Duplex Doppler Ultrasonography and Computed Tomography revealed an atherosclerotic aneurysm of the right internal carotid artery, measuring 63×55×88 mm, stretching from the skull base to the angle of the mandible.http://dx.doi.org/10.1155/2015/389298 |
| spellingShingle | Jacek Brzost Anna M. Cyran Martyna Waniewska Miroslaw J. Szczepanski Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess Case Reports in Otolaryngology |
| title | Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess |
| title_full | Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess |
| title_fullStr | Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess |
| title_full_unstemmed | Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess |
| title_short | Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess |
| title_sort | internal carotid artery aneurysm mimicking peritonsillar abscess |
| url | http://dx.doi.org/10.1155/2015/389298 |
| work_keys_str_mv | AT jacekbrzost internalcarotidarteryaneurysmmimickingperitonsillarabscess AT annamcyran internalcarotidarteryaneurysmmimickingperitonsillarabscess AT martynawaniewska internalcarotidarteryaneurysmmimickingperitonsillarabscess AT miroslawjszczepanski internalcarotidarteryaneurysmmimickingperitonsillarabscess |