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Zhong YL, Feng JP, Luo H, Gong XH, Wei ZH. Spontaneous internal carotid artery pseudoaneurysm complicated with ischemic stroke in a young man: A case report and review of literature. World J Clin Cases 2022; 10:8025-8033. [PMID: 36158486 PMCID: PMC9372827 DOI: 10.12998/wjcc.v10.i22.8025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 04/04/2022] [Accepted: 06/26/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Carotid artery pseudoaneurysm (PSA) is infrequently encountered in clinical settings. Internal carotid artery (ICA) PSA complicated with ischemic stroke is rare. PSAs are typically caused by iatrogenic injury, trauma, or infection. The underlying mechanisms of spontaneous PSA formation are not well characterized. We report a healthy young man who presented with stroke as a complication of spontaneous PSA of the left ICA.
CASE SUMMARY A 30-year-old man working as a ceiling decoration worker was hospitalized due to sudden-onset speech disorder and right lower extremity weakness. Medical history was unremarkable. Brain computed tomography revealed ischemic stroke. Digital subtraction angiography showed a left ICA PSA with mild stenosis. The patient was conservatively managed with oral anticoagulation and antiplatelet therapy. He recovered well and was discharged. The patient was in good condition during follow-up.
CONCLUSION The occupational history of patient should be taken into consideration while evaluating the etiology of spontaneous ICA PSA in young people with stroke.
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Affiliation(s)
- Yu-Lin Zhong
- Department of Ultrasound, The Second Clinical College of Jinan University, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China
- Department of Ultrasound, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China
| | - Jia-Ping Feng
- Department of Ultrasound, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518035, Guangdong Province, China
- Graduate School, Guangzhou Medical University, Guangzhou 510180, Guangdong Province, China
| | - Hui Luo
- Department of Ultrasound, The Second Clinical College of Jinan University, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China
- Department of Ultrasound, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China
| | - Xue-Hao Gong
- Department of Ultrasound, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518035, Guangdong Province, China
- Graduate School, Guangzhou Medical University, Guangzhou 510180, Guangdong Province, China
| | - Zhang-Hong Wei
- Department of Ultrasound, The Second Clinical College of Jinan University, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China
- Department of Ultrasound, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China
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