Carotid body tumour: an enigma that remains
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20190782Keywords:
Carotid body tumors, Paraganglioma, Carotid artery, Cerebral infarctionAbstract
Carotid body tumour is a form of paraganglioma which arises from the carotid body. This tumour is known for its rich vascular supply mainly contributed by the ascending pharyngeal artery, a branch from external carotid artery. Surgical excision preceded by pre-operatic embolization remains the definitive treatment despite the countless feared complications. We present our experience with a case of carotid body tumour which was embolised prior to surgical excision, unfortunately complicated with a thromboembolic event. This patient was found to have an anatomical variation in the cerebrovascular anatomy known as a fetal posterior cerebral artery which led to a paradoxical PCA infarction post-embolization. We would like to highlight this rare presentation along with its management as there were scarce evidence of this case in the literature.
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References
White JB, Link MJ, Cloft HJ. Endovascular embolization of paragangliomas: A safe adjuvant to treatment. J Vasc Interv Radiol. 2008;1:37-41.
Spinelli F, Massara M, Spada ML, Stilo F, Barillà D, Caridi GD. A simple technique to achieve bloodless excision of carotid body tumors. J Vasc Surg. 2014;59:1462-4.
Lambert SL, Williams FJ, Oganisyan ZZ, Branch LA, Mader EC. Fetal-type variants of the posterior cerebral artery and concurrent infarction in the major arterial territories of the cerebral hemisphere.J Investig Med High Impact Case Rep. 2016;4:1-7.
Sajud MS, Hamilton G, Baker DM, Joint Vascular Reserch Group. A multicenter review of carotid body tumour management. Eur J Vasc Endovasc Surg. 2007;34:127-30.
Kasper GC, Welling RE, Wladis AR. A multidisciplinary approach to carotid paragangliomas. Vasc Endovascular Surg. 2006;40:467-74.
Hallet JW Jr, Nora JD, Hollier LH, Cherry KJ Jr, Pairolero PC. Trends in neurovascular complications of surgical management for carotid body and cervical paragangliomas: a fifty-year experience with 153 tumours. J Vasc Surg. 1988;7:284-91.
Joshi M, Lattimer CR, Shah B, Geroulakos G. The unknowns of perioperative stroke during carotid body tumour resection. BMJ Case Rep. 2013.
Power AH, Bower TC, Kasperbauer J, Link MJ, Oderich G, Cloft H, et al. Impact of preoperative embolization on outsomes of carotid body resections. J Vasc Surg. 2012;56:979-89.
P.M. Schick, G.B. Hieshima, R.A. White, et al., Arterial catheter embolization followed by surgery for large chemodectoma. Surgery. 1980;87:459-64.
Sen I, Stephen E, Malepathi K, Agarwal S, Shyamkumar NK, Mammen S. Neurological complications in carotid body tumours: A 6-year single-center experience. J Vasc Surg. 2013;57:64S-8S.
Bercin S, Muderris T, Sevil E, Gul F, Kilicarslan A, Kiris M. Efficiency of preoperative embolization of carotid body tumor. Auris Nasus Larynx. 2015;42:226-30.