“…Agenesis, aplasia, and hypoplasia of the internal carotid artery (ICA) are rare anomalies [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20]. When the ICA is congenitally absent, collateral circulation develops through the circle of Willis from the basilar artery (BA) and the opposite ICA to supply the involved hemisphere.…”