Unilateral developmental absence of internal carotid artery with contralateral middle cerebral artery occlusion.
Humans
Middle Aged
Carotid Artery, Internal
/ abnormalities
Cerebral Angiography
Cerebrovascular Circulation
Infarction, Middle Cerebral Artery
/ complications
Middle Cerebral Artery
/ diagnostic imaging
Stroke
/ diagnostic imaging
Computed Tomography Angiography
Tomography, X-Ray Computed
/ methods
Intracranial Thrombosis
/ diagnostic imaging
Congenital ICA Anomaly
Internal Carotid Artery absence
Third Aortic Arch
Journal
Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
15
06
2022
accepted:
02
12
2022
pubmed:
28
1
2023
medline:
7
3
2023
entrez:
27
1
2023
Statut:
ppublish
Résumé
Developmental absence of the internal carotid artery (ICA) is a rare congenital anomaly that results from an insult to the third aortic arch or dorsal aorta during early embryogenesis. Patients are often asymptomatic and are diagnosed incidentally during imaging to investigate neurological complaints. We report a rare finding of an absent ICA during a workup of stroke in a middle-aged patient. CT brain perfusion (CTP) and CT angiography (CTA) revealed the right middle cerebral artery (MCA) thrombotic stroke with the demonstration of contralateral left ICA absence. The patient showed spontaneous recovery, and no thrombolysis or neurointervention was considered. This article highlights the importance of screening the head CT on bone window settings in case of the non-visualization of ICA to differentiate congenital absence from a steno-occlusive disease. It also illustrates the role of Magnetic resonance imaging (MRI) and MR Angiography (MRA) in demonstrating further possible vascular anomalies, structural brain malformations, and collateral circulation.
Identifiants
pubmed: 36705691
doi: 10.1007/s00276-022-03056-w
pii: 10.1007/s00276-022-03056-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
327-332Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Alurkar A, Karanam LSP, Oak S, Kori S (2016) Congenital Absence of Internal Carotid Artery with Rare Type of Intercavernous Anastamosis and Ruptured Cerebral Aneurysm. J Clin Diagn Res 10:03–04. https://doi.org/10.7860/JCDR/2016/17797.7549
doi: 10.7860/JCDR/2016/17797.7549
Chaudhry SR, Barreto S, Ezhapilli SR (2018) Bilateral congenital absence of the internal carotid arteries: a case report. Radiology case reports 13:1146–1149. https://doi.org/10.1016/j.radcr.2018.08.006
doi: 10.1016/j.radcr.2018.08.006
pubmed: 30233747
pmcid: 6138939
Chen J, Raden M, Lin C (2019) Congenital absence of the internal carotid artery with intercavernous anastomosis. Radiology case reports 14:1021–1026. https://doi.org/10.1016/j.radcr.2019.05.030
doi: 10.1016/j.radcr.2019.05.030
pubmed: 31210835
pmcid: 6562185
Hebant B, Gerardin E, Delpierre C, Mereaux JL, Quesney G, Lefaucheur R (2020) A case of right internal carotid agenesis with associated transcavernous anastomosis revealed by transient ischemic attack. Surg Radiol Anat 42:207–210. https://doi.org/10.1007/s00276-019-02318-4
doi: 10.1007/s00276-019-02318-4
pubmed: 31535194
Kaya O, Yilmaz C, Gulek B, Soker G, Cikman G, Inan I, Demirduzen S (2014) An important clue in the sonographic diagnosis of internal carotid artery agenesis: ipsilateral common carotid artery hypoplasia. Case reports in radiology 2014:516456–516456. https://doi.org/10.1155/2014/516456
doi: 10.1155/2014/516456
pubmed: 25097789
pmcid: 4102011
Kikuchi K, Kowada M, Kojima H (1995) Hypoplasia of the internal carotid artery associated with spasmodic torticollis: the possible role of altered vertebrobasilar haemodynamics. Neuroradiology 37:362–364. https://doi.org/10.1007/bf00588012
doi: 10.1007/bf00588012
pubmed: 7477834
Kim D, Baek JW, Heo YJ, Jeong HW (2018) Congenital absence of the internal carotid artery with a persistent primitive trigeminal artery as a collateral pathway: a report of an anatomic variation. Surg Radiol Anat 40:811–813. https://doi.org/10.1007/s00276-018-2025-1
doi: 10.1007/s00276-018-2025-1
pubmed: 29667029
Lie TA (1968) Congenital anomalies of the carotid arteries. Including the carotid-basilar and carotid-vertebral anastomoses. An angiographic study and a review of the literature. Excerpta Medica, Amsterdam
Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–261
Pierro A, Cilla S, Cucci E, Sallustio G (2017) Computed tomography angiography of unilateral agenesis of the internal carotid artery: 2 cases report with focus on embryology, collateral pathways, and imaging. Radiology Case Reports 12:606–609. https://doi.org/10.1016/j.radcr.2017.04.010
doi: 10.1016/j.radcr.2017.04.010
pubmed: 28828135
pmcid: 5551989
Stagi S, Traficante G, Lapi E, Pantaleo M, Becciani S, Mortilla M, Seminara S, de Martino M (2015) Agenesis of internal carotid artery associated with isolated growth hormone deficiency: a case report and literature review. BMC Endocr Disord 15:58. https://doi.org/10.1186/s12902-015-0037-y
doi: 10.1186/s12902-015-0037-y
pubmed: 26481254
pmcid: 4617709
Steer AC, Rowe PW (2008) Bilateral agenesis of the internal carotid artery: case report and approach to management. J Paediatr Child Health 44:511–513. https://doi.org/10.1111/j.1440-1754.2008.01357.x
doi: 10.1111/j.1440-1754.2008.01357.x
pubmed: 18928467
Verbiest H (1954) 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 72:601–609
pubmed: 13234998