Left Internal Carotid Artery Agenesis Associated with Basilar and Left Vertebral Artery Aneurysm

Overview

Journal J Clin Imaging Sci

Specialty Radiology

Date 2012 Jan 24

PMID 22267995

Citations 4

Authors

Lale Pasaoglu

Murat Vural

Ipek Ziraman

Sadik Ahmet Uyanik

Affiliations

Soon will be listed here.

Abstract

Agenesis of the internal carotid artery (ICA) is a rare congenital anomaly. Most of the patients are asymptomatic and it is usually discovered incidentally by computed tomography (CT) or magnetic resonance imaging (MRI). There is close association of the cranial aneurysms and subarachnoid hemorrhage with ICA agenesis. We present a case of a 61-year-old male with left ICA agenesis associated with basilar artery and left vertebral artery aneurysms. The patient complained of headaches and numbness on the right-side of the face. Physical examination showed high blood pressure (210/90 mmHg). Neurological examination revealed nystagmus and decreased sensation on the right-side of the face. Agenesis of left ICA, left carotid canal with basilar and left vertebral artery aneurysms were demonstrated incidentally using CT, MRI, and digital subtraction angiography, as a part of an evaluation for suspected cerebrovascular accident.

Citing Articles

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A Rare Case of Congenital Internal Carotid Artery Agenesis and Contralateral Internal Carotid Artery Aneurysm.

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Cerebral Aneurysms with Internal Carotid Artery Agenesis: A Unique Case Similar to Moyamoya Disease and Literature Review.

Takamiya S, Yoshimoto T, Maruichi K Neurol Med Chir (Tokyo). 2021; 61(5):321-333.

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Agenesis of the Left Internal Carotid Artery in the Right Aortic Arch with Isolation of the Left Innominate Artery Associated with Ruptured Cerebral Aneurysm: Case Report.

Yamasaki K, Yokogami K, Ohta H, Yamashita S, Kawasoe T, Takeshima H NMC Case Rep J. 2017; 2(2):46-48.

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References

Tsuruta J, Miyazaki Y . [A case of complete absence of the left internal carotid artery associated with an aneurysm of the anterior communicating artery (author's transl)]. No Shinkei Geka. 1977; 5(8):895-900. View

Florio F, Balzano S, Nardella M, Strizzi V, Cammisa M, Bozzini V . Congenital absence of the internal carotid artery. Cardiovasc Intervent Radiol. 1999; 22(1):74-8. DOI: 10.1007/s002709900334. View

Ito S, Miyazaki H, Iino N, Shiokawa Y, Saito I . Unilateral agenesis and hypoplasia of the internal carotid artery: a report of three cases. Neuroradiology. 2005; 47(5):311-5. DOI: 10.1007/s00234-003-1090-1. View

Kunishio K, Yamamoto Y, Sunami N, Asari S . Agenesis of the left internal carotid artery, common carotid artery, and main trunk of the external carotid artery associated with multiple cerebral aneurysms. Surg Neurol. 1987; 27(2):177-81. DOI: 10.1016/0090-3019(87)90292-8. View

Elazab N, Riel-Romero R, Gonzalez-Toledo E . Internal carotid artery agenesis and basilar artery aneurysm with third nerve palsy. Pediatr Neurol. 2010; 42(6):451-4. DOI: 10.1016/j.pediatrneurol.2010.02.002. View

VERBIEST H . Radiological findings in a case with absence of the left internal carotid artery and compression of several cranial nerve roots in the posterior fossa by the basilar artery. Med Contemp. 1954; 72(12):601-9. View

Lee J, Oh C, Lee S, Han D . Aplasia of the internal carotid artery. Acta Neurochir (Wien). 2003; 145(2):117-25; discussion 125. DOI: 10.1007/s00701-002-1046-y. View

Given 2nd C, Baker M, Chepuri N, Morris P . Congenital absence of the internal carotid artery: case reports and review of the collateral circulation. AJNR Am J Neuroradiol. 2001; 22(10):1953-9. PMC: 7973856. View

Quint D, Silbergleit R, Young W . Absence of the carotid canals at skull base CT. Radiology. 1992; 182(2):477-81. DOI: 10.1148/radiology.182.2.1732967. View

10.

Orakdogen M, Berkman Z, Ersahin M, Biber N, Somay H . Agenesis of the left internal carotid artery associated with anterior communicating artery aneurysm: case report. Turk Neurosurg. 2007; 17(4):273-6. View

11.

Afifi A, Godersky J, Menezes A, Smoker W, BELL W, Jacoby C . Cerebral hemiatrophy, hypoplasia of internal carotid artery, and intracranial aneurysm. A rare association occurring in an infant. Arch Neurol. 1987; 44(2):232-5. DOI: 10.1001/archneur.1987.00520140090024. View

12.

SMITH Jr K, Nelson J, Dooley Jr J . Bilateral "hypoplasia" of the internal carotid arteries. Neurology. 1968; 18(12):1149-56. DOI: 10.1212/wnl.18.12.1149. View

13.

Quint D, Boulos R, Spera T . Congenital absence of the cervical and petrous internal carotid artery with intercavernous anastomosis. AJNR Am J Neuroradiol. 1989; 10(2):435-9. PMC: 8331368. View