Internal carotid artery aneurysm

Posted by Laurie @roch, Aug 2, 2018

I am posting to hear from others with internal carotid artery aneurysm and what treatment, if any the doctors recommended.

I was having a CT scan for another reason and an aneurysm was discovered. Immediately had consults with neurology and neurosurgery and it was decided that it did not need immediate attention except taking a baby aspirin daily. It showed calcification that meant it had been there for a while. I have not had a stroke or other symptoms. I am 62 with no heart problems.

But when you here aneurysm, you fear the worst.

An angiogram was done few weeks later and results were:
Right common carotid artery cervical angiogram demonstrates an aneurysm of the right internal carotid artery upper cervical segment which measures 33 x 25 x 29 mm.

The surgeon said these types of aneurysm rarely burst and should follow up with another test after 6 months to see if there are any changes.

If you have had similar diagnosis, what advice are your drs giving you?

My doctors are at Mayo Rochester, so confident that diagnosis is correct.

Laurie

I’m being treated at Mayo as well but for brain AVM’s. Have you had a consult with a neurosurgeon there?

@stellgma

I’m being treated at Mayo as well but for brain AVM’s. Have you had a consult with a neurosurgeon there?

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I only saw the neurosurgeons briefly before and after the angiogram at hospital. I wish I would had an in office visit in less stressful environment. When I do 6 month recheck, I am going create a list of prepared questions and ask for a office visit. What might be routine for surgeon, is not routine for me.

I had very similar experience, also at Mayo Clinic. One follow up and nothing more. It has been about 4 years now. Since physicians do not seem concerned, I have decided to ignore the information,for the most part, and live life without fear.

Hi there, I was diagnosed with 2 aneurysms, one near the optic nerve and cavernous sinus. Like yours's mine our small but they monitor them. Of course if I get a bad headache they get more concerned & you get a free MRA!! But it is life as normal for the most part. You just learn to live with it.

Through a MRI for another condition, I was found to have a possible large internal carotid aneurysm. A CTA confirmed the diagnosis. I’m now waiting for an appt with a neurosurgeon. Until my appointment, I’m wondering if I should take any precautions in my daily living.
I’ve had no symptoms of a problem.

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Update, I had 6 month recheck with CT scan and follow up appt with neurosurgeon. No changes and dr said this type of aneurysm have little chance of leaking / bursting. Only advice he gave me is to take one baby aspirin a day. I will have rechecked in one year.

Laurie

@roch

Update, I had 6 month recheck with CT scan and follow up appt with neurosurgeon. No changes and dr said this type of aneurysm have little chance of leaking / bursting. Only advice he gave me is to take one baby aspirin a day. I will have rechecked in one year.

Laurie

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Thanks.

@roch, Hello, i was wondering how you're doing?
I too, was diagnosed with an aneurysm in the right internal carotid artery 3×4 mm, and another one on the left side in the cavernous part of the internal carotid artery 3mm. Vascular Surgeon has said a repeat ct angiography to be done in 6 months. I am quite worried, as my mother passed away 16 years ago at the age of 47 from an aneurysm. I hope you're doing well, and if you'd like to talk I am here

@tanyabray41 , thanks for asking.

I am doing good. My neurosurgeon repeated a CT 6 months after initial diagnosis and there was no change. So will repeat CT scan in another year. After first diagnosis, I was very nervous knowing it was there, but as time goes by I am less worried. I also talked to my primary provider about and he agrees with neurosurgeon that I am at low risk and it just needs to be monitored on regular bases.

I have no family history of aneurysms. Do they know what caused your aneurysm? I have no idea what caused mine or how long it has been there. Dr asked about previous car accidents, etc…, but I can not remember any trauma that might of caused.

Laurie

Hi all I am 43 years old and I have just been diagnosed with ica aneurysm. It is 7mm×7mm in size. I first experienced headaches Aug 2018 and in Sept 2018 my right hand side of my face went numb. I went to a&e had a ct and mri scan. They noticed that my main artery under my right ear was twisted. So I had to wait for a mra scan. I had it done in Jan 2019 I have to wait now to see a specialist to see the next moves.

@lizang

Hi all I am 43 years old and I have just been diagnosed with ica aneurysm. It is 7mm×7mm in size. I first experienced headaches Aug 2018 and in Sept 2018 my right hand side of my face went numb. I went to a&e had a ct and mri scan. They noticed that my main artery under my right ear was twisted. So I had to wait for a mra scan. I had it done in Jan 2019 I have to wait now to see a specialist to see the next moves.

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Hello, @lizang, and welcome to Mayo Clinic Connect. I can imagine it would feel worrisome to see half of your face go numb and experience the headaches you mentioned. I am glad to hear you have a diagnosis and now know the cause of those symptoms.

If you click VIEW & REPLY in the email notification, you can see the whole discussion on this topic, "Internal carotid artery aneurysm," and scroll through past messages. I'd also like to invite @5posies @perion @tanyabray41 @roch to return and offer their insights and any tips for you on your ICA aneurysm diagnosis. I'd also like you to meet @hopeful33250, who may also have some thoughts .

I am sure you may have many questions, having this brand new diagnosis, @lizang. Do you have a top question for others in this discussion who've experienced this type of aneurysm?

Back in the spring while in my yard my entire left side of my face went numb and I thought I might be having a stroke. Nobody was around to see if I had any other symptoms (drooping face, slurred speech, etc.) and it passed in a minute or two and I went about my business. It wasn't until I had my calcium score done and scored 1014 and diagnosed with advanced coronary artery disease and had a carotid scan showing bilateral blockages up to 39% that I thought about it again. I assumed then that it was a TIA but my cardiologist wants me to go to a neurologist. I didn't realize that there could be other reasons for this symptom.

@lisalucier

Hello, @lizang, and welcome to Mayo Clinic Connect. I can imagine it would feel worrisome to see half of your face go numb and experience the headaches you mentioned. I am glad to hear you have a diagnosis and now know the cause of those symptoms.

If you click VIEW & REPLY in the email notification, you can see the whole discussion on this topic, "Internal carotid artery aneurysm," and scroll through past messages. I'd also like to invite @5posies @perion @tanyabray41 @roch to return and offer their insights and any tips for you on your ICA aneurysm diagnosis. I'd also like you to meet @hopeful33250, who may also have some thoughts .

I am sure you may have many questions, having this brand new diagnosis, @lizang. Do you have a top question for others in this discussion who've experienced this type of aneurysm?

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@lisalucier thanks, I know that my grandmother and her sister died in their 40's of a brain aneurysm. So you can see how frighten I am. I would be very active woman and I am always on the go…My job which I love can be very challenging and stressful so it was recommended that I would take some sick leave. I am in college too it's not as stressful as yet. I haven't been talking to the neurosurgeon yet as I am on a waiting list to see him. Basically my family doctor is pleased for me to rest up until I talk with the neurosurgeon. I need this gone from my head as I need to go back doing the things I used to. I am afraid to put any pressure on my brain. For instance last Friday evening I got a puncture (I trained as a mechanic) I was afraid to change the wheel incase my aneurysm bursted. I had to wait in for nearly a hour before help came. I would off sorted it out before I found out about having my unwanted neighbour in my brain.

I was hit on the left side of my head by a pipe swung by a thug who attacked me and the MRA received from hospital that next day showed a ICA aneurysm of 2mm in the left internal carotid artery. That was 12/29/2010. I was told by the doctor at that hospital in Charlotte NC that it was inoperable due to the shape. I have lived in fear these past years and last week 3/10/2019 a MRA shows the ICAA is now 3mm.
I have been expericing some sharp pains in my head over and behind my left ear. I live in 2 hours south of Jacksonville Fl. I have a consultation scheduled for this week at the Mayo in Jacksonville and am hoping and praying that there are new techniques now that will offer hope.

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