polenovjournalРоссийский нейрохирургический журнал имени профессора А. Л. ПоленоваRussian Neurosurgical Journal named after Professor A. L. Polenov2071-2693Семинары, Конференции и Форумыpolenovjournal-565Research ArticleОБЗОРЫ ЛИТЕРАТУРЫ И КЛИНИЧЕСКИЕ СЛУЧАИREVIEWS OF LITERATURE AND CLINICAL CASESЛечение диссекционной аневризмы экстракраниального отдела внутренней сонной артерии отклоняющим поток стентом. Клиническое наблюдение. Обзор литературыTreatment of dissecting extracranial internal carotid artery aneurysm with a flow-diverting stent. Case reporthttps://orcid.org/0000-0003-2391-8212ХристофороваМ. И.KhristoforovaM. I.

Санкт-Петербург

Saint Petersburg

https://orcid.org/0000-0002-0065-0391ИвановА. А.IvanovA. A.

Санкт-Петербург

Saint Petersburg

https://orcid.org/0000-0001-5777-2886ИвановА. Ю.IvanovA. Yu.СебелевК. И.SebelevK. I.

Санкт-Петербург

Saint Petersburg

БерсневВ. П.BersnevV. P.

Санкт-Петербург

Saint Petersburg

РНХИ им. проф. А. Л. Поленова — филиал НМИЦ им. В. А. АлмазоваРоссияRNSI n. a.A.L. Polenov at Almazov National Medical Research CentreRussian FederationКафедра нейрохирургии СЗГМУ имени И. И. МечниковаРоссияNorth-Western State Medical University n. a. I. I. Mechnikov, Department of NeurosurgeryRussian Federation2019180320251147883Copyright © Христофорова М.И., Иванов А.А., Иванов А.Ю., Себелев К.И., Берснев В.П., 20252025Христофорова М.И., Иванов А.А., Иванов А.Ю., Себелев К.И., Берснев В.П.Khristoforova M.I., Ivanov A.A., Ivanov A.Y., Sebelev K.I., Bersnev V.P.This work is licensed under a Creative Commons Attribution 4.0 License.https://polenovjournal.elpub.ru/jour/article/view/565

Аневризмы экстракраниальной части внутренней сонной артерии довольно редки. Они могут быть мало симптомными, однако, имеют высокий риск разрыва, развития артериальной эмболии, цереброваскулярной недостаточности. Вмешательства при данной патологии выполняются как сосудистыми хирургами, так и нейрохирургами (интервенционными нейрорадиологами). Доказательные протоколы лечения таких аневризм в настоящее время отсутствуют. Этиология диссекционных аневризм экстракранильного отдела внутренней сонной артерии включает как травматические повреждения, так и соединительнотканные дисплазии, атеросклеротические изменения сосудистой стенки. Мы приводим клиническое наблюдение больной 55 лет с гигантской диссекционной аневризмой экстракраниального сегмента правой внутренней сонной артерии, развившейся на фоне травмы удлиненным шиловидным отростком (шило-каротидный синдром, «Eagle синдром»), успешно вылеченной имплантацией отклоняющего поток стента Silk +.

Aneurysms of the extracranial part of the internal carotid artery are quite rare. They may be practically asymptomatic, however, have a high risk of rupture, development of arterial embolism and cerebrovascular insufficiency. Interventions for this pathology are performed by both vascular operations and neurosurgeons (interventional neuroradiologists). Evidence-based protocols for the treatment of such aneurysms are currently lacking. The etiology of dissecting aneurysms of the extracranial internal carotid artery includes traumatic injuries, connective tissue dysplasia and atherosclerotic changes of the vascular wall. We are conducting a clinical observation of a 55-year-old female patient with a giant dissecting aneurysm of the extracranial segment of the right internal carotid artery, caused by elongated styloid process (stylocarotid symptoms, “Eagle syndrome”), successfully cured by implanting a flow deverting stent Silk +.

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The authors declare that there are no conflicts of interest present.