IJAR.2020.198

Type of Article:  Case Report

Volume 8; Issue 3.3 (September 2020)

Page No.: 7712-7714

DOI: https://dx.doi.org/10.16965/ijar.2020.198

TALE OF A MISSING TUNNEL-UNILATERAL AGENESIS OF CAROTID CANAL: A RARE CASE REPORT

Jeneeta Baa.

Assistant Professor, Department of Anatomy, VIMSAR,Burla, India.

Corresponding Author: Dr. Jeneeta Baa, Assistant Professor, Department of Anatomy, VIMSAR,Burla, India. E-Mail: drjeneetabaa@gmail.com

ABSTRACT

Agenesis of the internal carotid artery  is a rare congenital anomaly, occurring in less than 0.01% of the population. The patients with ICA agenesis are asymptomatic, sometimes discovered incidentally, or diagnosed by finding a collateral circulation .The most common type of collateral flow is through the Circle of Willis. The only method to the diagnosis of aplasia or agenesis of the ICA is based on angiographic findings and the presence of an absent or hypoplastic bony carotid canal by temporal bone CT. Carotid agenesis must be considered as a differential diagnosis while diagnosing many other clinical cases.

Key words: Agenesis, Carotid canal, Collateral circulation, Internal carotid artery.

REFERENCES

[1]. Lie T. Congenital anomalies of the carotid arteries. New York: Excerpta Medica Foundation, 1968.
[2]. Afifi AK, Godersky JC, Menezes A, Smoker WR, Bell WE, Jacoby CG. Cerebral hemiatrophy, hypoplasia of internal carotid artery, and intracranial aneurysm: a rare association occurring in an infant. Arch Neurol 1987;44:232-235
https://doi.org/10.1001/archneur.1987.00520140090024
PMid:3813939
[3]. Ryan FH, Kline LB, Gomez C. Congenital Horner’s syndrome resulting from agenesis of the internal carotid artery. Ophthalmology 2000;107:185-188.
https://doi.org/10.1016/S0161-6420(99)00006-8
[4]. Midkiff RB, Boykin MW, McFarland DR,Bauman JA. Agenesis of the internal carotid artery with intercavernous anastomosis. AJNR Am J Neuroradiol 1995;16:1356-1359.
[5]. Given CA 2nd, 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;22:1953-1959
[6]. Handa J, Matsuda I, Nakasu S, Nakano Y. Agenesis of an internal carotid artery: angiographic, tomographic, computed tomographic correlation. Case report. Neuroradiology 1980; 19: 207-11.
https://doi.org/10.1007/BF00376709
PMid:7383342
[7]. Dinç H, Alioglu Z, Erdöl H, Ahmetoglu A. Agenesis of the internal carotid artery associated with aortic arch anomaly in a patient with congenital Horner’s syndrome. AJNR Am J Neuroradiol 2002;23:929-931.
[8]. Quint DJ, Silbergleit R, Young WC. Absence of the carotid canals at skull base CT. Radiology 1992;182:477-481.
https://doi.org/10.1148/radiology.182.2.1732967
PMid:1732967
[9]. Farhat W, Ahdab R, Hosseini H. Congenital agenesis of internal carotid artery with ipsilateral Horner presenting as focal neurological symptoms. Vasc Health Risk Manag 2011;26:37-40.
https://doi.org/10.2147/VHRM.S16642
PMid:21339912 PMCid:PMC3037088
[10]. Lee J-H, Oh CW, Lee SH, Han DH: Aplasia of the internal carotid artery. Acta Neurochir 145: 117-125, 2003.
https://doi.org/10.1007/s00701-002-1046-y
PMid:12601459
[11]. Ibrahim M, Branson HM,Buncic JR, Shroff MM.A case of Horner syndrome with intermittent mydriasis in a patient with hypoplasia of the internal carotid artery. AJNR Am J Neuroradiol 2006;27:1318-1320.
[12]. Naseer A. Choh, Suhil A. Choh and Majid Jehangir. Right Internal Carotid Artery Agenesis . Indian J Pediatr 2008; 75 (12) : 1269-1271
https://doi.org/10.1007/s12098-008-0246-8
PMid:19190881
[13]. Uchino A, Sawada A, Hirakawa N, Totoki T, Kudo S. Congenital absence of the internal carotid artery diagnosed during investigation of trigeminal neuralgia. Eur Radiol 2002; 12 : 2339-2342.
https://doi.org/10.1007/s00330-001-1262-5
PMid:12195492
[14]. Florio F, Balzano S, Nardella M, Strizzi V, Cammisa M, Bozzini V, Catapano G, D’Angelo V. Congenital absence of the internal carotid artery. Cardiovascular and Interventional Radiology 1999; 22:74-78.
https://doi.org/10.1007/s002709900334
PMid:9929551
[15]. Tasar M, Yetiser S, Tasar A, Ugurel S, Gonul E, Saglam M. Congenital absence or hypoplasia of the carotid artery: Radioclinical issues. Am J Otolaryngol 2004; 25: 339-49.
https://doi.org/10.1016/j.amjoto.2004.04.008
PMid:15334399
[16]. Heth JA, Loftus CM, Piper JG, Yuh W. Hypoplastic internal carotid artery mimicking a classic angiographic “string sign.”.
[17]. Kishore PR, Kaufman AB, Melichar FA. Intrasellar carotid anastomosis simulating pituitary microadenoma. Radiology 1979; 132:381-383.
https://doi.org/10.1148/132.2.381
PMid:461796

Cite this article: Jeneeta Baa. TALE OF A MISSING TUNNEL-UNILATERAL AGENESIS OF CAROTID CANAL: A RARE CASE REPORT. Int J Anat Res 2020;8(3.3):7712-7714. DOI: 10.16965/ijar.2020.198