Congenital internal carotid artery hypoplasia: Case report.

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  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
    • Subject Terms:
      Carotid Artery, Internal/*abnormalities ; Carotid Artery, Internal/*pathology ; Cerebrovascular Disorders/*drug therapy; Angiography, Digital Subtraction/methods ; Anticholesteremic Agents/therapeutic use ; Atorvastatin/therapeutic use ; Carotid Artery, Internal/diagnostic imaging ; Cerebrovascular Disorders/prevention & control ; Clopidogrel/therapeutic use ; Humans ; Male ; Middle Aged ; Platelet Aggregation Inhibitors/therapeutic use ; Speech Disorders/diagnosis ; Speech Disorders/etiology ; Tomography, X-Ray Computed/methods ; Treatment Outcome
    • Abstract:
      Rationale: Congenital internal carotid artery hypoplasia (CICAH) is rarely reported. This study aimed to discuss the epidemiological characteristics, clinical manifestation, imaging and treatment of CICAH.
      Patient Concerns: The case was male who showed barylalia and limited abilities of the left limbs as their main clinical manifestation. This patient was diagnosed CICAH by digital subtraction angiography (DSA) and computed tomography (CT).
      Diagnosis: CICAH.
      Interventions: The patient underwent anti platelet aggregation, lipid-lowering, improving cerebral circulation.
      Outcomes: The patient was in a stable condition after management of cerebrovascular risk.
      Lessons: Given the asymptomatic and congenital nature of carotid agenesis, no treatment is necessary or possible to re-establish the internal carotid artery (ICA). However, with the high risk of aneurysm and cerebrovascular insufficiency, management of cerebrovascular risk is important. Urgent radiological assessment is necessary for patients with suspicious neurological symptoms.
    • References:
      Am J Med Genet A. 2015 Mar;167A(3):537-44. (PMID: 25655429)
      Int J Pediatr Otorhinolaryngol. 1999 Jun 15;49(1):69-76. (PMID: 10428407)
      BMC Endocr Disord. 2015 Oct 19;15:58. (PMID: 26481254)
      Neurology. 1968 Dec;18(12):1149-56. (PMID: 5750702)
      Eur J Pediatr. 2003 Sep;162(9):610-2. (PMID: 12856176)
      AJNR Am J Neuroradiol. 2005 Nov-Dec;26(10):2635-9. (PMID: 16286414)
      Clin Proc. 1945;4(10):588-94. (PMID: 21017245)
      Ophthalmology. 2000 Jan;107(1):185-8. (PMID: 10647740)
      AJNR Am J Neuroradiol. 1995 Jun-Jul;16(6):1356-9. (PMID: 7677040)
      Spine (Phila Pa 1976). 2009 Sep 15;34(20):E740-2. (PMID: 19752694)
      Aust N Z J Surg. 1986 Jan;56(1):85-8. (PMID: 3488732)
      Eur Radiol. 2000;10(11):1805-9. (PMID: 11097410)
      Int J Pediatr Otorhinolaryngol. 2007 Mar;71(3):509-12. (PMID: 17161873)
      Neuroradiology. 2002 Feb;44(2):138-42. (PMID: 11942366)
      Cleft Palate Craniofac J. 2010 May;47(3):314-7. (PMID: 19860531)
      Surg Neurol. 2006 Jun;65(6):615-9; discussion 619; author reply 620. (PMID: 16720187)
      Neurol Res. 2010 Dec;32(10):1027-32. (PMID: 20712923)
      J Neuroimaging. 2007 Apr;17(2):141-7. (PMID: 17441835)
    • Accession Number:
      0 (Anticholesteremic Agents)
      0 (Platelet Aggregation Inhibitors)
      A0JWA85V8F (Atorvastatin)
      A74586SNO7 (Clopidogrel)
    • Publication Date:
      Date Created: 20190105 Date Completed: 20190116 Latest Revision: 20220331
    • Publication Date:
      20221213
    • Accession Number:
      PMC6344190
    • Accession Number:
      10.1097/MD.0000000000013986
    • Accession Number:
      30608441