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AJNR - American Journal of Neuroradiology

Published ahead of print on June 12, 2008
doi: 10.3174/ajnr.A1135

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American Journal of Neuroradiology 29:1750-1752, October 2008
© 2008 American Society of Neuroradiology

Case Report
HEAD & NECK

Giant Extracranial Aneurysms of Both Internal Carotid Arteries with Aberrant Jugular Veins in a Patient with Neurofibromatosis Type 1

Y.-K. Ku^a, H.-Wu Chen^a, H.-Wen Chen^c, C.-J. Fu^a, S.-C. Chin^a and Y.-C. Liu^a,b

^a Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Linkou, Taiwan
^b Department of Medical Imaging and Radiological Sciences, Chang Gung University, Taiwan
^c Department of Internal Medicine, Lo-Tung Poh-Ai Hospital, Yilan, Taiwan

Please address correspondence to Yuan-Chang Liu, MD, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Department of Medical Imaging and Radiological Sciences, Chang Gung University, 5 Fu-Hsing St, Gueishan, TaoYuan, 33305, Taiwan; e-mail: b2401003{at}gmail.com

SUMMARY: Although neurofibromatosis type 1 (NF-1) is commonly considered neurocutaneous, severe arterial and venous abnormalities have been noted. Our patient, a 28-year-old woman, had bilateral giant extracranial aneurysms of the internal carotid arteries as well as skull base meningoceles involving the jugular foramina and aberrant jugular veins. CT and MR imaging, as well as digital subtraction and/or other angiography techniques, may be required to clarify pathology in patients with suggested vascular lesions.