Endovascular treatment of an infected pseudoaneurysm secondary to retropharyngeal abscess in a child

Waleed Brinjikji, Felix E. Diehn, Christopher W. Lindsay, Jonathan M. Morris

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

We describe a rare case of carotid pseudoaneurysm secondary to a retropharyngeal abscess, treated with coil embolization in a 2-year-old boy. The patient presented to an emergency department with symptoms suggesting meningitis but was subsequently diagnosed with streptococcal pharyngitis. He was discharged home on oral antibiotics after a short hospitalization. He returned to the emergency department two weeks later with limited neck motion and pain. Neck CT demonstrated a retropharyngeal abscess with a large left cervical internal carotid artery (ICA) pseudoaneurysm. The petrous ICA distal to the pseudoaneurysm had thrombosed prior to treatment. The ICA proximal to the pseudoaneurysm was sacrificed with coil embolization. Post-treatment imaging demonstrated complete thrombosis of the pseudoaneurysm but also demonstrated acute strokes in the left MCA/ACA watershed distribution. His parents noted that the patient was clumsier and exhibited some mild speech changes and a steppage gait prior to evaluation in the ED; therefore, these were thought to be secondary to emboli from partial thrombosis of the pseudoaneurysm prior to treatment. The patient was discharged home in good condition and his neurological function improved.

Original languageEnglish (US)
Pages (from-to)538-542
Number of pages5
JournalInterventional Neuroradiology
Volume21
Issue number4
DOIs
StatePublished - Aug 1 2015

Keywords

  • Carotid blowout
  • Coiling
  • Endovascular
  • Stenting

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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