Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence

Internal carotid artery congenital absence with acute embolism of the middle cerebral artery trunk is very rare. A 65-year-old female with a history of hypertension and atrial fibrillation was admitted to the neurology department of our hospital. Computed tomography of the head and neck showed no ca...

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Main Authors: Jun-wei Wang, Yu Zhang, Yong-tao Yang, Xin Li, Qun-ling Zhan, Ge Jin
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:IBRO Neuroscience Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667242123000386
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author Jun-wei Wang
Yu Zhang
Yong-tao Yang
Xin Li
Qun-ling Zhan
Ge Jin
author_facet Jun-wei Wang
Yu Zhang
Yong-tao Yang
Xin Li
Qun-ling Zhan
Ge Jin
author_sort Jun-wei Wang
collection DOAJ
description Internal carotid artery congenital absence with acute embolism of the middle cerebral artery trunk is very rare. A 65-year-old female with a history of hypertension and atrial fibrillation was admitted to the neurology department of our hospital. Computed tomography of the head and neck showed no carotid canal of the petrous portion of the temporal bone; digital subtraction angiography (DSA) showed no left internal carotid artery and the right middle cerebral artery trunk occlusion. These results suggested acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence. Mechanical thrombectomy was performed, which had a good outcome. This case showed the vascular anatomy features of ICA congenital absence with contralateral large vessel acute occlusion, and it is essential to promptly identify the vascular variation during the interventional procedure.
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spelling doaj.art-574666ea71db476aa8fde09361c0caeb2023-06-14T04:34:44ZengElsevierIBRO Neuroscience Reports2667-24212023-06-0114462465Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absenceJun-wei Wang0Yu Zhang1Yong-tao Yang2Xin Li3Qun-ling Zhan4Ge Jin5Department of Neurology, The Fifth People’s Hospital of Chongqing, No. 24 Renji Road, Nanan District, Chongqing 400062, ChinaDepartment of Interventional Radiology, The Fifth People’s Hospital of Chongqing, No. 24 Renji Road, Nanan District, Chongqing 400062, ChinaDepartment of Neurology, The Fifth People’s Hospital of Chongqing, No. 24 Renji Road, Nanan District, Chongqing 400062, ChinaDepartment of Neurology, The Fifth People’s Hospital of Chongqing, No. 24 Renji Road, Nanan District, Chongqing 400062, ChinaDepartment of Neurology, The Fifth People’s Hospital of Chongqing, No. 24 Renji Road, Nanan District, Chongqing 400062, ChinaDepartment of Neurology, The Fifth People’s Hospital of Chongqing, No. 24 Renji Road, Nanan District, Chongqing 400062, China; Corresponding author.Internal carotid artery congenital absence with acute embolism of the middle cerebral artery trunk is very rare. A 65-year-old female with a history of hypertension and atrial fibrillation was admitted to the neurology department of our hospital. Computed tomography of the head and neck showed no carotid canal of the petrous portion of the temporal bone; digital subtraction angiography (DSA) showed no left internal carotid artery and the right middle cerebral artery trunk occlusion. These results suggested acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence. Mechanical thrombectomy was performed, which had a good outcome. This case showed the vascular anatomy features of ICA congenital absence with contralateral large vessel acute occlusion, and it is essential to promptly identify the vascular variation during the interventional procedure.http://www.sciencedirect.com/science/article/pii/S2667242123000386Middle cerebral arteryEmbolismCongenital absence of internal carotid arteryInterventional reperfusion
spellingShingle Jun-wei Wang
Yu Zhang
Yong-tao Yang
Xin Li
Qun-ling Zhan
Ge Jin
Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence
IBRO Neuroscience Reports
Middle cerebral artery
Embolism
Congenital absence of internal carotid artery
Interventional reperfusion
title Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence
title_full Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence
title_fullStr Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence
title_full_unstemmed Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence
title_short Interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence
title_sort interventional reperfusion for acute embolism of the middle cerebral artery trunk with contralateral internal carotid artery congenital absence
topic Middle cerebral artery
Embolism
Congenital absence of internal carotid artery
Interventional reperfusion
url http://www.sciencedirect.com/science/article/pii/S2667242123000386
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