Skull Base Rep 2011; 1(2): 133-138
DOI: 10.1055/s-0031-1284209
© Thieme Medical Publishers

Peripheral Facial Paralysis and Bilateral Carotid Pseudoaneurysms of Petrous Localization: A Case Report

Justine Lerat1 , Stéphane Orsel1 , Charbel Mounayer2 , Roberto Riva2 , Pierre-Yves Roudaut3 , Vincent Patron1 , Jean-Pierre Bessede1 , Karine Aubry1
  • 1Department of Otolaryngology, Head and Neck Surgery, Limoges, France
  • 2Department of Interventional NeuroRadiology, Limoges, France
  • 3Department of Radiology, Dupuytren Teaching Hospital, Limoges, France
Further Information

Publication History

Publication Date:
22 July 2011 (eFirst)

ABSTRACT

Carotid pseudoaneurysms of petrous localization are rare. They are mostly due to trauma, tumoral or infectious diseases, or a result of iatrogenic complications after skull base surgery. Symptoms such as facial paralysis are exceptional and have rarely been described in the literature until now. We report the case of a 64-year-old woman, who developed left peripheral facial paralysis induced by two carotid pseudoaneurysms in their intrapetrous section. The treatment is endovascular, despite the high morbidity rate. She was first put on antiplatelet medications, before the left carotid aneurysm was bypassed thanks to a self-expanding pipeline-type stent with flow diversion. The left peripheral facial paralysis was due to the compression exerted by the left carotid aneurysm, probably a congenital malformation. The progressive palsy recovery was fist due to the aneurysmal thrombosis, then to the secondary fibrosis.