Diagnosis and endoscopic endonasal management of nontraumatic pseudoaneurysms of the cranial base

International Forum of Allergy & Rhinology
Daniel L FadenCarl H Snyderman

Abstract

Nontraumatic pseudoaneurysms of the cranial base are rare and present unique diagnostic and treatment dilemmas compared with both true aneurysms and pseudoaneurysms outside of the cranial base. There is a dearth of knowledge regarding the management of these complicated lesions. Nontraumatic pseudoaneurysms of the cranial base internal carotid artery (ICA) were retrospectively identified at the University of Pittsburgh Medical Center through a key word search of cranial base cases from 2010 to 2017. Three cases were identified, demonstrating pseudoaneurysms of the cavernous and petrous ICA. Each patient underwent diagnostic work-up with computed tomography, magnetic resonance imaging, and angiography, followed by endovascular occlusion and endoscopic endonasal surgery, which resulted in relief of presenting complaints and ablation of the pseudoaneurysm. Symptomatic cranial base pseudoaneurysms should undergo treatment to obliterate the aneurysm and relieve the mass effect. First, formal angiography is necessary for accurate diagnosis and treatment planning. Next, endovascular occlusion is performed, with a preference for coiling or endoluminal reconstruction with a flow diverter. Last, endoscopic intervention follows in cases w...Continue Reading

References

Nov 24, 2006·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·E F M CiceriF Di Meco
Oct 8, 2011·Otolaryngologic Clinics of North America·Rowan Valentine, Peter-John Wormald
Jan 17, 2012·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Michael FuKetan R Bulsara
Jan 23, 2013·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·E Carlos Rodriguez-Merchan
Jun 29, 2015·World Neurosurgery·Paul A GardnerCarl H Snyderman
Nov 4, 2015·The Laryngoscope·Oliver Y ChinJean Anderson Eloy
Mar 10, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Rowan ValentinePeter-John Wormald
Jun 9, 2016·Otolaryngologic Clinics of North America·Paul A GardnerBrian T Jankowitz

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Citations

Apr 26, 2018·International Forum of Allergy & Rhinology·Benjamin S Bleier

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