栓塞性颈内动脉假性动脉瘤鼻咽线圈脱位。

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2021-09-11 eCollection Date: 2021-01-01 DOI:10.1155/2021/4270441
Nazli Ay, Ingo Todt, Holger Sudhoff
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引用次数: 2

摘要

目的:对颅内假性动脉瘤破裂引起的严重鼻出血进行线圈栓塞治疗是有效的。这通常是一个有效和安全的程序,并提供足够的保护复发性鼻出血。然而,并发症如动脉瘤破裂、动脉剥离、出血和栓塞可能发生。鼻咽线圈脱位是一种极为罕见的事件。病人。我们报告一个61岁的复发性未分化鼻咽癌(NPC)伴严重鼻出血的病例。最初,鼻出血通过鼻腔填充物成功控制。再出血,尽管包装需要神经放射干预。通过磁共振成像(MRI)和计算机断层扫描(CT)发现颅内破裂的假性动脉瘤,起源于内颈动脉在岩部和海绵体部分的交界处。动脉瘤的治疗采用卷取和血管内栓塞术。十个月后,病人从左鼻子取出了一个异物。由于放射性腐蚀导致线圈材料错位。MRI证实颈内动脉充分栓塞。结论:本病例报告强调了栓塞的颈内动脉瘤出现鼻咽线圈脱位的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Nasopharyngeal Coil Dislocation of an Embolized Internal Carotid Artery Pseudoaneurysm.

Objective: Severe epistaxis caused by ruptured intracranial pseudoaneurysms can be effectively treated by coil embolization. This is generally an efficient and safe procedure and provides sufficient protection recurrent epistaxis. However, complications such as aneurysm rupture, arterial dissection, bleeding, and emboli can occur. A dislocation of a nasopharyngeal coil is an extremely rare event. Patient. We present a case of a 61-year-old patient with a recurrent undifferentiated nasopharyngeal carcinoma (NPC) treated with severe epistaxis. Initially, epistaxis was successfully controlled by a nasal packing. Recurrent bleeding despite packing required a neuroradiological intervention. An intracranially ruptured pseudoaneurysm was detected by magnetic resonance imaging (MRI) and computed tomography (CT), originating from the internal carotid artery at the junction of the petrous part to the cavernous part. Coiling and endovascular plug embolization was performed for the treatment of aneurysm. Ten months later, the patient removed a foreign body out of his left nose. It was dislocated coil material due to radionecrosis. MRI confirmed sufficient embolization of the internal carotid artery.

Conclusions: This case report highlights the possibility of a nasopharyngeal coil dislocation of an embolized internal carotid artery aneurysm emerging as a nasal foreign body.

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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
自引率
0.00%
发文量
20
审稿时长
13 weeks
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