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Ελληνική Ακτινολογία, Τόμος 45, Τεύχος 4, 2014
134
ογκώσεις της πλάγιας τραχηλικής χώρας αποτελούν
ένα σύνηθες αλλά πολύπλοκο τις περισσότερες φορές
διαφοροδιαγνωστικό πρόβλημα της καθημέρα πρά-
ξης ωτορινολαρυγγολόγων και ακτινολόγων ιατρών
και είναι φρόνιμο να αντιμετωπίζονται πάντα μεθο-
δικά. Μία από τα πιο σημαντικές διαγνώσεις στις πε-
ριπτώσεις αυτές είναι και το ανεύρυσμα της έσω κα-
ρωτίδας. Πολλές βέβαια είναι και οι διαφορικές δια-
γνώσεις που θα πρέπει να ληφθούν υπόψη προκει-
μένου να καταλήξουμε σε ασφαλή διάγνωση. Η α-
νοικτή χειρουργική επέμβαση αποτελεί τη θεραπεία
εκλογής για τα γιγαντιαία ανευρύσματα της έσω κα-
ρωτίδας, ενώ η ενδαγγειακή αντιμετώπιση μπορεί στο
μέλλον και για επιλεγμένες περιπτώσεις να αποτελέ-
σει ένα αξιόπιστο και πολύτιμο εργαλείο στη θερα-
πευτική φαρέτρα των ιατρών.
ABSTRACT
Vassiliadis K, Kariki Ε, Panagiotidou D, Skouroumouni
G, Chondromatidou St.
Giant aneurysm of internal carotid artery
A case report
Purpose:
The presentation of an interesting case of
a female patient, 66 years old, with a giant aneurysm
of the right internal carotid artery.
Materials &Methods:
The patient was examined
at the regular examination rooms of our hospital,
complaining of small swelling of the right cervical area,
gradually increasing. In order to investigate this small
cervical swelling, the patient was submitted in a detail
laboratory and imaging examination. In particular,
the patient was submitted in CT and MRI scans of the
neck and in a corresponding scans of the extra-cranial
vessels. The imaging investigation was ended by 3D
construction of those images.
Results:
The diagnosis was established basically
by imaging investigation. The rest detailed laboratory
examination was normal. By CT and MRI scans the
dimensions of the aneurysm and the relation with
the neighbor structures were specified with absolute
accuracy and a lot of important information for the
design of surgical treatment was collected.
Conclusions:
The giant aneurysm of the internal
carotid artery is exceptionally rare and they have
essential morbidity and mortality if they are not
diagnosed and confronted properly. Cervical swellings
are a frequent but mostly complicated daily problem in
differential diagnosis for physicians and are essential
to be properly treated.
Keywords:
Giant aneurysm, cervical swelling, extra-cranial
fragment of carotid artery.
Neuroradiology Department of PapageorgiouHospital,
Thessaloniki
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