The Journal of Emergency Medicine
Volume 22, Issue 3 , Pages 257-261 , April 2002

Internal carotid artery pseudoaneurysm masquerading as a peritonsillar abscess

  • Janelle A Thomas, MD

      Affiliations

    • Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA
    • ,
  • Theodore M Ware (DO)

      Affiliations

    • Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA
    • ,
  • Francis L Counselman, MD

      Affiliations

    • Corresponding Author InformationReprint Address: Francis L. Counselman, MD, Department of Emergency Medicine, Rm 304, Raleigh Building, 600 Gresham Drive, Norfolk, VA 23507 USA
    • Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA
    • Emergency Physicians of Tidewater, Norfolk, Virginia, USA

Received 18 May 2001 ,Revised 18 September 2001 ,Accepted 26 October 2001.

References 

  1. Kraus RR, Bergstein JM, DeBord JR. Diagnosis, treatment, and outcome of blunt carotid arterial injuries. Am J Surg. 1999;178:190–193
  2. Mokri B, Piepgras DG, Houser OW. Traumatic dissections of the extracranial internal carotid artery. Neurosurg. 1988;68:189–197
  3. Cogbill TH, Moore EE, Meissner M, et al.  The spectrum of blunt injury to the carotid artery (a multicenter perspective). J Trauma. 1994;37:473–479
  4. Fabian TC, George SM, Croce MA, et al.  Carotid artery trauma (management based on mechanism of injury). J Trauma. 1990;30:953–961
  5. Fabian TC, Patton JH, Croce MA, et al.  Blunt carotid injury. Importance of early diagnosis and anticoagulant therapy. Ann Surg. 1996;223:513–522
  6. Stahmer SA, Raps EC, Mines DI. Carotid and vertebral artery dissections. Emerg Med Clin North Am. 1997;15:677–698
  7. Biffl WL, Moore EE, Offner PJ, et al.  Blunt carotid arterial injuries (implications of a new grading scale). J Trauma. 1999;47:845–853
  8. Kettaneh A, Biousse V, Bousser MG. Neurological complications after roller coaster rides (an emerging new risk?). Presse Med. 2000;29:175–180
  9. Prendergast H, Kuo D. Spontaneous rupture of the common carotid artery with pseudoaneurysm formation. Ann Emerg Med. 1997;30:230–233
  10. Fakhry SM, Jaques PF, Proctor HJ. Cervical vessel injury after blunt trauma. J Vasc Surg. 1988;8:501–508
  11. Schievink WI, Atkinson JL, Bartleson JD, et al.  Traumatic internal carotid artery dissections caused by blunt softball injuries. Am J Emerg Med. 1998;16:179–182
  12. Perry MO, Snyder WH, Thal ER. Carotid artery injuries caused by blunt trauma. Ann Surg. 1980;192:74–77
  13. Bula WI, Loes DJ. Trauma to the cerebrovascular system. Neuroimaging Clin North Am. 1994;4:753–772
  14. Pretre R, Kursteiner K, Reverdin A, et al.  Blunt carotid artery injury (devastating consequences of undetected pseudoaneurysm). J Trauma. 1995;39:1012–1014
  15. Kaplan JA. Delayed fatal hemothorax due to traumatic carotid dissection (a case report of a previously unreported cause of death). J Forensic Sci. 1994;39:552–556
  16. Biousse V, Woimant F, Amarenco P, et al.  Pain as the only manifestation of internal carotid artery dissection. Cephalalgia. 1992;12:314–317
  17. Biousse V, Touboul PJ, D’Anglejan-Chatillon J, et al.  Ophthalmologic manifestations of internal carotid artery dissection. Am J Ophthalmol. 1998;126:565–577
  18. Anson J, Crowell RM. Cervicocranial arterial dissection. Neurosurgery. 1991;29:89–96
  19. Silbert PL, Mokri B, Schievink WI. Headache and neck pain in spontaneous internal carotid and vertebral artery dissections. Neurology. 1995;45:1517–1522
  20. Mokri B, Silbert PL, Schievink WI, et al.  Cranial nerve palsy in spontaneous dissection of the extracranial internal carotid artery. Neurology. 1996;46:356–359
  21. Yamada S, Kindt GW, Youmans JR. Carotid artery occlusion due to nonpenetrating injury. J Trauma. 1967;7:1514–1517
  22. Biousse V, D’Anglejan-Chatillon J, Touboul PJ, et al.  Time course of symptoms in extracranial carotid artery dissections. A series of 80 patients. Stroke. 1995;26:235–239
  23. Mra Z, Emami AJ, Simpson GT. Parapharyngeal lymphangioma mimicking a peritonsillar abscess. Ear Nose Throat J. 1996;75:790–792
  24. Xylocaine . In: Physicians’ Desk Reference, 55th edn. Montvale NJ: Medical Economics Company, Inc; 2001;p. 607–610
  25. Sturzenegger M, Mattle HP, Rivoir A, et al.  Ultrasound findings in spontaneous extracranial vertebral artery dissection. Stroke. 1993;24:1910–1921
  26. Provenzale JM, Barboriak DP, Taveras JM. Exercise-related dissection of craniocervical arteries (CT, MR, and angiographic findings). J Comput Assist Tomogr. 1995;19:268–276
  27. Bartolozzi C, Neri E, Caramella D. CT in vascular pathologies. Eur Radiol. 1998;8:679–684
  28. Sakaguchi M, Sato S, Asawa S, Taguchi K. Computed tomography findings in peritonsillar abscess and cellulitis. J Laryngol Otol. 1995;109:449–451
  29. Scott PMJ, Loftus WK, Kew J, et al.  Diagnosis of peritonsillar infections (a prospective study of ultrasound, computerized tomography and clinical diagnosis). J Laryngol Otol. 1999;113:229–232
  30. Biffl WL, Moore EE, Elliott JP, et al.  The devastating potential of blunt vertebral arterial injuries. Ann Surg. 2000;231:672–681
  31. Parikh AA, Luchette FA, Valente JF, et al.  Blunt carotid artery injuries. J Am Coll Surg. 1997;185:80–86
  32. Biffl WL, Moore EE, Ryu RK, et al.  The unrecognized epidemic of blunt carotid arterial injuries (early diagnosis improves neurologic outcome). Ann Surg. 1998;228:462–470
  33. Coldwell DM, Novak Z, Ryu RK, et al.  Treatment of posttraumatic internal carotid arterial pseudoaneurysms with endovascular stents. J Trauma. 2000;48:470–472
  34. Shames ML, Davis JW, Evans AJ. Endoluminal stent placement for the treatment of traumatic carotid artery pseudoaneurysm (case report and review of the literature). J Trauma. 1999;46:724–726
  35. Li MS, Smith BM, Espinosa J, et al.  Nonpenetrating trauma to the carotid artery (seven cases and a literature review). J Trauma. 1994;36:265–272

PII: S0736-4679(01)00478-4

The Journal of Emergency Medicine
Volume 22, Issue 3 , Pages 257-261 , April 2002

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