Pseudoaneurysm formation is a rare but dangerous complication of carotid artery dissection. It can result from trauma, spontaneous artery dissection, or iatrogenic causes. Presence of symptoms and ineffective medical therapy are one of the indications for invasive treatment. We present the case of 3 symptomatic patients with dissecting pseudoaneurysms—2 traumatic and 1 spontaneous. They were treated with 3 different endovascular procedures: the use of covered stentgraft, trans-stent coil embolization, and carotid stenting. After invasive and dual antiplatelet therapy, complete resolution of symptoms was achieved in all patients.
ParaskevasKIBatchelderAJNaylorAR. Fate of distal false aneurysms complicating internal carotid artery dissection: a systematic review. Eur J Vasc Endovasc. 2016;52(3):281–286.
2.
DaouBHammerChChalouhiN. Dissecting pseudoaneurysms: predictors of symptom occurrence, enlargement, clinical outcome, and treatment. J Neurosurg. 2016;125(4):936–942.
3.
XianjunHZhimingZ. A systematic review of endovascular management of internal carotid artery dissections. Interv Neurol. 2012;1(3-4):164–170.
4.
GalyfosGFilisKSigalaFSianouA. Traumatic carotid artery dissection: a different entity without specific guidelines. Vasc Specialist Int. 2016;32(1):1–5.
5.
NedeltchevKder MaurTAGeorgiadisD. Ischaemic stroke in young adults: predictors of outcome and recurrence. J Neurol Neurosurg Psychiatry. 2005;76(2):191–195.
6.
DjouhriHGuillonBBrunereauL. MR angiography for the long-term follow-up of dissecting aneurysms of the extracranial internal carotid artery. AJR Am J Roentgenol. 2000;174(4):1137–1140.
7.
TouzéERandouxBMéaryEArquizanCMederJFMasJL. Aneurysmal forms of cervical artery dissection associated factors and outcome. Stroke. 2001;32(2):418–423.
8.
CruciataGParikhRPradhanMShahJGreifESteinEG. Internal carotid artery dissection and pseudoaneurysm formation with resultant ipsilateral hypoglossal nerve palsy. Radiol Case Rep. 2017;12(2):371–375.
9.
Alonso FormentoJEFernández ReyesJLEnvid LázaroBMFernández LetamendiTYeste MartínRJódar MorenteFJ. Horner’s syndrome due to a spontaneous internal carotid artery dissection after deep sea scuba diving. Case Rep Neurol Med. 2016;2016:5162869.
10.
ForemanPMGriessenauerCJFalolaMHarriganMR. Extracranial traumatic aneurysms due to blunt cerebrovascular injury. J Neurosurg. 2014;120(6):1437–1445.
11.
KaanEErişHNYildizAKaraEOzgurA. Stent-assisted coil embolization of posttraumatic dissecting carotid aneurysm causing ophthalmoplegia. Pol J Radiol. 2017;82:307–310.
12.
KwakJHChoiJWParkHJ. Cerebral artery dissection: spectrum of clinical presentations related to angiographic findings. Neurointervention. 2011;6(2):78–83.
13.
CrönleinMSandmannGHBeirerMWunderlichSBiberthalerPHuber-WagnerS. Traumatic bilateral carotid artery dissection following severe blunt trauma: a case report on the difficulties in diagnosis and therapy of an often overlooked lifethreatening injury. Eur J Med Res. 2015;20(1):62.
14.
AgarwalaMKAsadAGummadiNChidambaramSVenkateswaraluJ. Bilateral spontaneous internal carotid artery dissection managed with endovascular stenting - A case report. Indian Heart J. 2016;68(suppl 2):S69–S71.
