Extracranial Carotid Artery Aneurysm with Thrombus: Usefulness of Carotid Duplex Ultrasonography

J Korean Neurol Assoc > Volume 29(3); 2011 > Article

Journal of the Korean Neurological Association 2011;29(3): 249-251.

혈전을 동반한 두개외 경동맥 동맥류: 경동맥 이중초음파촬영의 유용성

김도한, 함지현 송영기 이명섭a 김서현

연세대학교 원주의과대학 신경과학교실, 영상의학교실a

Extracranial Carotid Artery Aneurysm with Thrombus: Usefulness of Carotid Duplex Ultrasonography

Do Han Kim

Departments of Neurology and Radiologya, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

Extracranial carotid artery aneurysm is a rare disease. A 72-year-old man was admitted with a painful neck mass for 5 days. Neck CT angiography and carotid duplex ultrasonography revealed a fusiform aneurysm of the left carotid bifurcation with a thrombus. His symptoms improved after anticoagulation therapy. The thrombus decreased in size and ultimately disappeared, as evidenced by serial duplex examinations. Carotid duplex ultrasonography is a simple and useful tool for diagnosis and follow-up. KeyWords:Carotid artery disease, Aneurysm, Duplex Doppler ultrasonography