1998
DOI: 10.1007/s002340050578
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Hypoplasia of the internal carotid artery with intercavernous anastomosis

Abstract: We report a symptomatic case of unilateral hypoplasia of the internal carotid artery with an intercavernous anastomosis, a very rare developmental anomaly. The symptoms were caused by occlusion of the proximal middle cerebral artery which possibly related to the haemodynamic stress caused by the anomalous intercavernous anastomosis.

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Cited by 70 publications
(34 citation statements)
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“…Recent developments in technology allow us to diagnose most of them by CT angiography or MR angiography, or even by conventional CT and MR images. Some variants, such as aberrant internal carotid artery or persistent stapedial artery, may be recognized on high-resolution CT [2,3,4,7,8,9]. On the contrary, small fenestrations are not detectable by even conventional digital subtraction angiography (DSA), and are detectable by only 3D reconstruction images from rotational DSA (3D DSA).…”
Section: Introductionmentioning
confidence: 97%
“…Recent developments in technology allow us to diagnose most of them by CT angiography or MR angiography, or even by conventional CT and MR images. Some variants, such as aberrant internal carotid artery or persistent stapedial artery, may be recognized on high-resolution CT [2,3,4,7,8,9]. On the contrary, small fenestrations are not detectable by even conventional digital subtraction angiography (DSA), and are detectable by only 3D reconstruction images from rotational DSA (3D DSA).…”
Section: Introductionmentioning
confidence: 97%
“…In case 2 intracerebral circulation was not studied in detail, but global injection of the supraaortic arteries showed no reduction of flow in the left MCA after compression of the left hypoplastic carotid system. Other possible collateral pathways reported in the literature include persistent hypoglossal artery [13], intercarotid anastomosis [3,14,15], and rete carotidis mirabile [15].…”
Section: Discussionmentioning
confidence: 99%
“…Unilateral hypoplasia and total agenesis of the ICA are comparatively common ICA anomalies, 4,5,9,11,15) which clearly induce hemodynamic stress in the ICA on the normal side, and may also be important in the pathogenesis of cerebral aneurysm. 5) Aberrant course of the ICA in the temporal bone is a rare vascular anomaly, [1][2][3]6,15) which otoscopy sometimes identifies as a retrotympanic mass.…”
Section: Discussionmentioning
confidence: 99%