Glossopharyngeal Neuralgia Associated with Aberrant Internal Carotid Artery in the Oropharynx

A Clinical Classification System for Aberrant Internal Carotid Arteries

“…Unspecific complaints like dizziness, tinnitus, cephalgia, and absences cause patients to visit the otorhinolaryngologist 5,7–10 . Reported signs also include cervical dysesthesia, cervical pain, and glossopharyngeal neuralgia and may easily be unrecognized or misdiagnosed 9,22 …”

“…5,7-10 Reported signs also include cervical dysesthesia, cervical pain, and glossopharyngeal neuralgia and may easily be unrecognized or misdiagnosed. 9,22 Since ICA anomalies have systematically been analyzed in dissection and angiographic studies, surgeons should be aware of their high incidence and associated risks. Its relevance is highlighted by the great number of routine pharyngeal procedures like tonsillectomy and adenoidectomy, often performed by young surgeons in children with a per se smallish tonsillocarotid distance.…”

Aberrant extracranial internal carotid arteries: New insights, implications, and demand for a clinical grading system

“…Signs of cerebrovascular insufficiency have predominantly been ascribed to sharp vessel bends and include dizziness, cephalgia, absences, and even strokes and hemiplegia. However, the association between ICA aberrations and neurological disorders is controversial …”

“…However, the association between ICA aberrations and neurological disorders is controversial. 4,6,7,[20][21][22][23][24] In recent years, the clinical relevance of ICA anomalies for transoral and open surgery and interventions in the head and neck region has only been highlighted by single reports or series of cases from otorhinolaryngologists that appear at regular intervals in the international medical literature. Aberrations in the course of the ICA may place the vessel into close relationship with the pharyngeal wall where it is at risk of injury during routine pharyngeal procedures, like tonsillectomies, adenoidectomies, and transoral tumor surgery.…”

Aberrant parapharyngeal internal carotid artery: a case series

“…Bildirilen yakınmalara servikal disestezi, boyun ağrısı ve glossofarengeal nöralji de dahildir. [9,10] Nadiren İKA aberasyonu farengeal lümeni daraltabilir ve tıkayıcı uyku apnesine neden olabilir. [11,12] Yedinci olguda uyku apnesi vardı fakat aberan karotis solunum yolunu tıkamadığı için uyku apnesinin tamamen aberan karotise bağlı olduğu düşünül-medi (Tablo 1).…”