Acute infarction in a patient with agenesis of the internal carotid artery and transcavernous anastomosis

Eun Joo Lee; Hyuk Won Chang; Eun Yong Ha; Sang Hyon Kim; Mi Jung Kim; Hyon Ah Yi; Sang Kwon Lee; Sung Jin Kim

doi:10.1016/j.jocn.2011.07.034

Acute infarction in a patient with agenesis of the internal carotid artery and transcavernous anastomosis

J Clin Neurosci. 2012 Apr;19(4):597-9. doi: 10.1016/j.jocn.2011.07.034. Epub 2012 Jan 28.

Authors

Eun Joo Lee¹, Hyuk Won Chang, Eun Yong Ha, Sang Hyon Kim, Mi Jung Kim, Hyon Ah Yi, Sang Kwon Lee, Sung Jin Kim

Affiliation

¹ Department of Radiology, Keimyung University Dongsan Hospital, College of Medicine, 216 Dalsung-ro, Jung-gu, Daegu, Republic of Korea.

PMID: 22285476
DOI: 10.1016/j.jocn.2011.07.034

Abstract

A 70-year-old man presented with left-sided weakness and dysarthria. His brain MRI and magnetic resonance angiography demonstrated acute infarctions in the bilateral middle cerebral artery territories in a setting of agenesis of the right internal carotid artery (ICA) with transcavernous anastomosis, a rare developmental anomaly. In this setting, atherosclerotic disease in the unilateral common carotid artery or ICA can induce acute infarctions in the bilateral anterior circulation.

Publication types

Case Reports

MeSH terms

Aged
Carotid Artery, Internal / abnormalities*
Cavernous Sinus / abnormalities*
Collateral Circulation*
Humans
Infarction, Middle Cerebral Artery / etiology*
Magnetic Resonance Angiography
Male
Tomography, X-Ray Computed