Bilateral Internal Carotid Artery Aneurysms with Diffuse Intracranial Calcification: Report of One Case

雙側頸動脈瘤併廣泛顱內鈣化：一病例報告

林思偕(Syh-Jae Lin) ； 賴永章(Yung-Chang Lai) ； 王本榮(Pen-Jung Wang) ； 王倫傑(Lun-Chieh Wang) ； 王水深(Shoei-Shen Wang)

《Acta Paediatrica Sinica》 35卷2期 (1994/04) Pp. 136-143

https://doi.org/10.7097/APS.199404.0136

摘要

一位十五歲女童，因右頸痛及聲音沙啞約一個月而至本院求診。理學檢查發現於右頸乳突下方可摸到一3×5公分，柔軟無壓痛，而有搏動之腫塊。回顧其過去病史，病童行前曾住院十一次（包括六次開刀），開刀後常併發傷口癒合不良以及深部組織感染。病童四肢血壓正常，無似麻煩症候群(Marfan Syndrome)之外觀。實驗室檢查包括血球計數，血清生化，電解質及免疫學檢查均在正常範圍。心臓超音波檢查顯示輕微主動脈膨大。
頭、頸部電腦斷層掃描顯示：有兩側頸動脈瘤及廣泛性顱內鈣化。病童隨即接受手術治療，左側囊狀動脈瘤予以切除，左頸動脈做斷端吻合。右側巨大動脈瘤則未予處理。雙側頸動脈瘤併廣泛顱內鈣化，文獻上無人提及。特此提出報告，並作簡單討論。

並列摘要

A 15-year-old girl with voice hoarseness and neck soreness for 4 months had a pulsating mass, sized 3×5 cm, adjacent to the right mastoid process. Physical examination revealed normal blood pressure recordings in 4 limbs and no stigmata of Mar- fan syndrome. Examination of the oral cavity showed bulging of the right pharyngeal wall medially, and the tongue deviated to the right at protrusion. Laboratory workups including complete blood counts, biochemistry, electrolytes, serological and immunological surveys revealed nothing particular. Echocardiography disclosed mild aortic dilatation.
Computed tomography of the head and neck revealed bilateral carotid aneurysms with extensive intracranial calcification. The saccular aneurysm over the left internal carotid artery was resected, and end-to-end anastomosis of the left internal carotid artery was performed. The giant occluded right carotid aneurysm was left unmanaged. The combination of bilateral carotid aneurysms and intracranial calcification has not been reported. The etiologies are discussed and a causal relationship between these two conditions is postulated.

並列關鍵字

carotid artery aneurysm ； intracranial calcification