Pseudoaneurysm of the vertebral artery presenting as a neck swelling: Report of a case

Autor: N. K. Misra, Sudhir Bahadur, Alok Thakar, D. A. Tandon
Rok vydání: 1995
Předmět:
Zdroj: Indian Journal of Otolaryngology and Head and Neck Surgery. 47:293-296
ISSN: 0973-7707
0019-5421
DOI: 10.1007/bf03047992
Popis: A twelve year old boy presented with a firm swelling of three months duration in the left posterior cervical triangle. The swelling was 8 cm in diameter. C T revealed a widened left vertebral canal, erosion of the transverse processes of C2 and subluxation between C1 and C2 with fracture C2. A spontaneous severe haemorrhage from the swelling compelled an immediate surgical exploration. The extravertebral mass was excised and a dehiscence in the transverse processes was plugged with sternocleidomastoid muscle flap to stop the bleeding. The patient made an uneventful recovery. Sustained questioning of the patient revealed a history of a fall from a bicycle three months prior to the present episode. On re-evaluation of the CT pictures it was concluded that the lesion was a pseudoaneurysm of left vertebral artery and should have been diagnosed as such on the initial CT.
Databáze: OpenAIRE
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