engleski

GIANT PSEUDOANEURYSM OF EXTERNAL CAROTID ARTERY.

A giant pseudoaneurysm of external carotid artery is a very rare phenomenon. An 85-year-old male patient presented to our Department with sudden onset of dysarthria accompanied with confusion. During somatic status examination, a large palpable pulsatile mass on the right side of the neck was found. Computed tomography (CT) of the brain showed hypodensity in the right parietooccipital part of the brain. Ultrasound of carotid arteries showed an occlusion of the right internal carotid artery, which was probably caused by compression with a giant pseudoaneurysm of the right external carotid artery. CT angiography and magnetic resonance (MRI) angiography of neck vessels also showed compressed right internal carotid artery with large psudoaneurysm of the external carotid artery (diameter 5.1 cm) what was initially intepretated as tumorous mass. During treatment the neurological deficit regressed, and surgical treatment was suggested, but the patient refused any further surgical or endovascular treatment . Seven months later the patient was admitted to our Department soporose, with left hemiplegia. CT of the brain showed large zone of hypodensity in the right parietooccipital and temporal part of the brain. Despite the therapy and healthcare given, the patient passed away after twelve days of hospitalization. Giant pseudoaneurysms are very challenging to diagnose and to treat. Although, they are very rare it is important to consider them during clinical and diagnostical procedures.

carotid artery

nije evidentirano