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Case report


Left internal carotid artery agenesis associated with basilar and left vertebral artery aneurysm

Lale Pau015faou011fluMurat VuralIpek ZiramanSadιk Ahmet Uyanιk
Department of Radiology, Ankara Numune Education and Research Hospital, Sıhhiye, Ankara, Turkey
Date of Submission: 24-Oct-2011, Date of Acceptance: 08-Dec-2011, Date of Web Publication: 24-Dec-2011.
Corresponding Author:
Corresponding Author

Sadık Ahmet Uyanık

Department of Radiology, Ankara Numune Education and Research Hospital, Sıhhiye, Ankara, Turkey.
E-mail: sado-86@hotmail.com

Corresponding Author:
Corresponding Author

Sadık Ahmet Uyanık

Department of Radiology, Ankara Numune Education and Research Hospital, Sıhhiye, Ankara, Turkey.
E-mail: sado-86@hotmail.com

DOI: 10.4103/2156-7514.91133 Facebook Twitter Google Linkedin

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.
Keywords: Agenesis, Basilar Artery Aneurysm, Internal Carotid Artery

Cited in 4 Documents

  1. J. Bordet, I. Larré, C. Arndt, C. Brugniart, D. Benisty and A. Ducasse (2016) Agénésie bilatérale des carotides internes révélée par une paralysie du VI. Journal Français d'Ophtalmologie 39(4):e109. doi: 10.1016/j.jfo.2015.01.025
  2. Milly T. Rambhia and Eric Kamenetsky (2019) Perioperative Clinical Considerations in a Patient With Carotid Agenesis. A & A Practice 12(11):388. doi: 10.1213/XAA.0000000000000938
  3. Motohiro Nomura, Akira Tamase, Kentaro Mori, Syunsuke Seki, Yu Iida, Yuichi Kawabata and Tatsu Nakano (2018) Agenesis of the Left Internal Carotid Artery Associated with Dolichoectatic Intracranial Arteries. Journal of Stroke and Cerebrovascular Diseases 27(2):e24. doi: 10.1016/j.jstrokecerebrovasdis.2017.09.021
  4. Anshu Mahajan, Gaurav Goel and Biplab Das (2018) Comments on “Agenesis of the Left Internal Carotid Artery Associated with Dolichoectatic Intracranial Arteries”. Journal of Stroke and Cerebrovascular Diseases 27(8):2285. doi: 10.1016/j.jstrokecerebrovasdis.2018.02.024

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