Akhmedov A.D., Lukshin V.A., Shmigelsky A.V., Kurbasov A.A., Usachev D.Yu. Amaurosis fugax due to internal carotid artery dissection during carotid chemodectoma resection. Head and neck. Russian Journal. 2024;12(2):106–112

DOI: https://doi.org/10.25792/HN.2024.12.2.106-112

The article presents a clinical observation of carotid chemodectoma resection, which was complicated by amaurosis fugax and left-sided hemianopia due to dissection of internal carotid artery during surgery. The clinical symptoms manifested on 3rd day after surgery and totally resolved after internal carotid artery reconstruction also on the 3rd day. Treatment of carotid chemodectoma requires a multidisciplinary approach involving a neurosurgeon who has the skills of reconstructive operations on brachiocephalic arteries, a radiologist, and an endovascular surgeon. Determining the tactics and stages of treatment requires an individual approach, depending on the size of the tumor, the degree of invasion into the carotid arteries and cranial nerves.
Key words: dissection, chemodectoma, paraganglioma, amaurosis fugax, transient ischemic attack
Conflicts of interest. The authors have no conflicts of interest to declare.
Funding. There was no funding for this study.

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