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Extracranial aneurysms of the internal carotid artery

Anevrysmes extra-craniens de l'artere carotide interne

Extracranielle Aneurysmen der A. carotis interna

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Summary

Aneurysm of the internal carotid artery in its cervical portion is not a benign lesion. A sufficient number of cases has been reported to serve as a warning that a unilateral lump in the throat may be an aneurysm and should be so regarded until proved otherwise. Neurological manifestations, particularly signs and symptoms of cerebral ischemia are common. Angiography is essential for diagnosis and provides valuable information regarding the size and location of the lesion, in addition to demonstrating associated cerebral hemodynamic disturbances.

Résumé

L'anévrysme de l'artère carotide interne dans son segment cervical n'est pas une lésion bénigne. Un certain nombre de cas ont été observés, uffisants pour nous avertir qu'une masse unilatérale dans la gorge peut être un anévrysme et doit être considéré comme tel jusqu'á preuve du contraire. Les manifestations neurologiques, les signes particuliers et les symtômes d'ischémie cérébrale sont, communs. L'angiographie est essentielle pour le diagnostic et apporte des informations de valeur quant á la taille et á la localisation de la lésion, en plus des troubles hémodynamiques cérébraux démonstatifs associés.

Zusammenfassung

Aneurysmen der A. carotis int. im Halsabschnitt können neurologische Ausfallsercheinungen und auch Symptome einer cerebralen Mangeldurchblutung verursachen. Die Arteriographie ist zur Diagnose unbedingt erforderlich, damit kann die Lokalisation und die Größe des Aneurysmas bestimmt werden, auch lassen sich damit die cerebralen hämodynamischen Veränderungen erkennen. Ausführlicher Bericht über die Genese dieser Aneurysmen.

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Margolis, M.T., Stein, R.L. & Newton, T.H. Extracranial aneurysms of the internal carotid artery. Neuroradiology 4, 78–89 (1972). https://doi.org/10.1007/BF00344435

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