Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.0046
Jornal Vascular Brasileiro
Case Report

Bilateral internal carotid artery agenesis: a case report

Agenesia bilateral de artéria carótida interna: relato de caso

Giuliano da Paz Oliveira; Nara Lívia Rezende Soares; Germano da Paz Oliveira; Benjamim Pessoa Vale

http://dx.doi.org/10.1590/1677-5449.0046 J Vasc Bras, vol.13, n4, p.336-339, 2014
PDF English
PDF Português
SciELO
Downloads: 0
Views: 838

Abstract

Agenesis of the internal carotid artery (ICA) is defined as a congenital absence of the carotid canal and occurs in less than 0.01% of the population. This anomaly is usually diagnosed as an incidental finding or after a cerebrovascular event. We present the case of a 36-year-old woman, with bilateral agenesis of the ICA who had suffered a subarachnoid hemorrhage due to ruptured aneurysm of the basilar artery. Therefore, agenesis of the ICA is a condition that, although rare, should be considered since there is a risk of coexistence with other life-threatening conditions such as aneurysms.

Keywords

internal carotid artery, carotid artery diseases, intracranial aneurysm

Resumo

Agenesia da artéria carótida interna (ACI) é definida como uma ausência congênita do canal carotídeo e ocorre em menos de 0,01% da população. O diagnóstico dessa anomalia ocorre geralmente como um achado incidental ou depois de um evento cerebrovascular. Apresentamos o caso de uma mulher de 36 anos, hipertensa e tabagista, com agenesia bilateral de ACI, que abriu quadro com hemorragia subaracnoide decorrente de rotura de aneurisma de artéria de basilar. A agenesia da ACI é, portanto, uma condição que, embora rara, deve ser lembrada por estar associada a outras más formações potencialmente fatais, como os aneurismas cerebrais.

Palavras-chave

artéria carótida interna, doenças das artérias carótidas, aneurisma intracraniano

References

Suyama K, Mizota S, Minagawa T, Hayashi K, Miyazaki H, Nagata I. A ruptured anterior communicating artery aneurysm associated with internal carotid artery agenesis and a middle cerebral artery anomaly. J Clin Neurosci. 2009;16(4):585-6.

Given 2nd CA, Huang-Hellinger F, Baker MD, Chepuri NB, Morris PP. Congenital absence of the internal carotid artery: case reports and review of the collateral circulation. AJNR Am J Neuroradiol. 2001;22(10):1953-9.

Orakdögen 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.

Elazab NE, Riel-Romero RM, Gonzalez-Toledo E. Internal carotid artery agenesis and basilar artery aneurysm with third nerve palsy. Pediatr Neurol. 2010;42(6):451-4.

Neves WS, Kakudate MY, Cêntola CP, Garzon RG, Poça d'Água A, Sanches R. Agenesia da artéria carótida interna: relato de caso. Radiol Bras. 2008;41(1):63-6.

Hunt WE, Hess RM. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg. 1968;28(1):14-20.

Sunada I, Inoue T. Bilateral internal carotid artery agenesis. J Neurol Neurosurg Psychiatry. 1996;61(2):206-7.

Naeini RM, De J, Satow T, Benndorf G. Unilateral agenesis of internal carotid artery with ophthalmic artery arising from posterior communicating artery. AJR Am J Roentgenol. 2005;184(2):571-3.

Steer AC, Rowe PW. Bilateral agenesis of the internal carotid artery: case report and approach to management. J Paediatr Child Health. 2008;44(9):511-3.

Given 2nd CA, Huang-Hellinger F, Baker MD, Chepuri NB, Morris PP. Congenital absence of the internal carotid artery: case reports and review of the collateral circulation. AJNR Am J Neuroradiol. 2001;22(10):1953-9.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd7bfa0e88257b241da3e9 jvb Articles
1677-7301 (Electronic)
J Vasc Bras ©2024 All rights reserved.

J Vasc Bras

Share this page
Page Sections