ReviewJournal of neurological surgery. Part B, Skull base2026
Management Challenges of Internal Carotid Artery Pseudoaneurysm in Skull Base Osteomyelitis.
Review in Journal of neurological surgery. Part B, Skull base, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Skull base osteomyelitis is a potentially life-threatening infection typically seen in elderly diabetic or immunocompromised patients. Internal carotid artery pseudoaneurysm caused by skull base osteomyelitis is a very rare complication. We present here three such instances to share our clinical experience and insights gained in the management of these cases. Methods and Results: A retrospective clinical audit of 142 skull base osteomyelitis patients (January 2010-May 2023) revealed three cases complicated by pseudoaneurysm at the cervicopetrous junction, with Conclusion: Internal carotid artery mycotic pseudoaneurysm is a rare yet potentially devastating complication of skull base osteomyelitis. Timely diagnosis and aggressive treatment are crucial to prevent catastrophic outcomes. Endovascular therapy has emerged as the primary modality for the management of these aneurysms. In the absence of surgical debridement for treatment of skull base osteomyelitis, prolonged antimicrobial therapy (at least 3 months) is essential.
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