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(22): 8025-8033 [PMID: PMC9372827 DOI: 10.12998/wjcc.v10.i22.8025]
Corresponding Author of This Article
Zhang-Hong Wei, MM, Doctor, Department of Ultrasound, The Second Clinical College of Jinan University, Shenzhen People's Hospital, No. 1017 Dongmen North Road, Luohu District, Shenzhen 518020, Guangdong Province, China. weizhhsz@126.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yu-Lin Zhong, Hui Luo, Zhang-Hong Wei, Department of Ultrasound, The Second Clinical College of Jinan University, Shenzhen People's Hospital, Shenzhen 518020, Guangdong Province, China
Yu-Lin Zhong, Hui Luo, Zhang-Hong Wei, 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, Xue-Hao Gong, Department of Ultrasound, Shenzhen Second People’s Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518035, Guangdong Province, China
Jia-Ping Feng, Xue-Hao Gong, Graduate School, Guangzhou Medical University, Guangzhou 510180, Guangdong Province, China
Author contributions: Zhong YL and Feng JP contributed equally to this manuscript; Zhong YL and Feng JP were responsible for collecting the medical history of the patient and drafting the report; Luo H reviewed the literature; Gong XH revised the manuscript; Wei ZH reviewed and edited the manuscript; all authors issued final approval for the version to be submitted.
Supported byKey Disciplines of Shenzhen, No. SZXK052.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare having no conflicts of interest in relation to these cases and their treatment or publication.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhang-Hong Wei, MM, Doctor, Department of Ultrasound, The Second Clinical College of Jinan University, Shenzhen People's Hospital, No. 1017 Dongmen North Road, Luohu District, Shenzhen 518020, Guangdong Province, China. weizhhsz@126.com
Received: February 20, 2022 Peer-review started: February 20, 2022 First decision: March 24, 2022 Revised: April 4, 2022 Accepted: June 22, 2022 Article in press: June 22, 2022 Published online: August 6, 2022 Processing time: 151 Days and 16 Hours
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.
Core Tip: In a previously healthy youngster with stroke, it is counterintuitive to make a connection between stroke and pseudoaneurysm (PSA), especially if there is no obvious cause. To best of our knowledge, this is the first report of spontaneous carotid artery PSA with stroke in a young adult. This case report may provide insights for diagnosis of carotid artery PSA in youngsters. Conservative therapy is a viable alternative for young patients with small carotid PSA.
