Evidence map›Paper›PMID 38741991›Full record

ArticleSurgical neurology international2024

Extracranial internal carotid artery-dissecting aneurysm having a re-entry tear and causing lower cranial nerve palsies treated with flow-diverting stent: A case report.

Nobuyuki Izutsu, Naoki Nishizawa, Shin Nakajima, Yonehiro Kanemura, Tomohiko Ozaki, Katsunori Asai, Tomoki Kidani, Koji Kobayashi, Yosuke Fujimi, Toshiyuki Fujinaka

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nobuyuki IzutsuDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Naoki NishizawaDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Shin NakajimaDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Yonehiro KanemuraDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Tomohiko OzakiDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Suita, Japan.
Katsunori AsaiDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Tomoki KidaniDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Koji KobayashiDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Yosuke FujimiDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.
Toshiyuki FujinakaDepartment of Neurosurgery Research and Innovation, NHO Osaka National Hospital, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extracranial internal carotid artery (ICA)-dissecting aneurysms (DAs) rarely cause re-entry tears and lower cranial nerve palsies. The therapeutic strategies for these pathologies are not well established. This report presents a case of an extracranial ICA -DA with a re-entry tear that caused lower cranial nerve palsy. Case Description: A 60-year-old man presented with left neck pain, hoarseness, and dysphagia. Physical examination and laryngoscopy determined palsies of the left cranial nerves IX, X, and XII. Digital subtraction angiography (DSA) revealed a DA in the left extracranial ICA, and three-dimensional DSA showed entry and re-entry tears in the intimal flap. Flow-diverting stents (FDSs) were placed on the lesion that covered the entry and re-entry tears because the symptoms did not improve after five weeks of conservative treatment. A post-procedural angiogram indicated flow stagnation in the DA. Symptoms improved remarkably immediately after the procedure, and the aneurysm was almost completely occluded six months later. Conclusion: Herein, an extracranial ICA -DA with a re-entry tear that caused lower cranial nerve palsy did not improve after five weeks of conservative treatment. FDS placement promptly resolved the aneurysm and symptoms. Thus, FDS placement may be an effective treatment option for extracranial ICA-DAs with re-entry tears or lower cranial nerve palsies.

Indexed as

Dissecting aneurysmElongated styloid processExtracranial internal carotid arteryFlow-diverting stentLower cranial nerve palsy

Identifiers

PMID38741991
PMCPMC11090541

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.