2016 年 39 巻 2 号 p. 131-134
Traumatic extracranial carotid artery aneurysms are rare in the pediatric population. Treatment options include surgery, anticoagulation therapy and endovascular treatment. There have been only limited reports in the literature documenting endovascular carotid artery stent placement in the pediatric population.
We present a case of endovascular carotid stenting for traumatic carotid dissecting aneurysm in a 11 years-old boy. The boy presented right arm weekness after falling from ninth floor. His head computed tomography (CT) scan demonstrated traumatic subarachnoid hemorrhage. Angiography was performed to control severe nasal bleeding, and severe stenosis was demonstrated at extracranial internal carotid artery.
CT angiography on 27th day showed extracranial internal carotid artery dissecting at the same place. Endovascular stenting was used to treat the dissecting aneurysm 47 days after injury.
A follow-up CT angiography performed at seven months showed no recurrence of aneurysm nor stenosis.
