Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage

Agenesis of the left common carotid artery with separate origins of the left internal and external carotid arteries from the aorta is an extremely rare anomaly. This anomaly is typically asymptomatic unless associated with other conditions. We report a case of separate origins of the left internal a...

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Main Authors: Yuma Hiratsuka, MD, Hideki Endo, MD, PhD, Naoyasu Okamura, MD, Masaaki Mikamoto, MD, Bunsho Asayama, MD, Kenji Kamiyama, MD, Toshiaki Osato, MD, Hirohiko Nakamura, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332200142X
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author Yuma Hiratsuka, MD
Hideki Endo, MD, PhD
Naoyasu Okamura, MD
Masaaki Mikamoto, MD
Bunsho Asayama, MD
Kenji Kamiyama, MD
Toshiaki Osato, MD
Hirohiko Nakamura, MD, PhD
author_facet Yuma Hiratsuka, MD
Hideki Endo, MD, PhD
Naoyasu Okamura, MD
Masaaki Mikamoto, MD
Bunsho Asayama, MD
Kenji Kamiyama, MD
Toshiaki Osato, MD
Hirohiko Nakamura, MD, PhD
author_sort Yuma Hiratsuka, MD
collection DOAJ
description Agenesis of the left common carotid artery with separate origins of the left internal and external carotid arteries from the aorta is an extremely rare anomaly. This anomaly is typically asymptomatic unless associated with other conditions. We report a case of separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage. A 42-year-old man was transferred to our hospital by ambulance because of left hemiparesis. Computed tomography scan revealed right putaminal hemorrhage. Computed tomography angiography and digital subtraction angiography demonstrated independent origins of the left internal carotid artery and external carotid artery from the aortic arch. Right internal carotid angiography revealed blood supply to the left anterior cerebral artery and middle cerebral artery via the anterior communicating artery. The separate origins of the left internal and external carotid arteries from the aorta may cause hemodynamic stress to the contralateral side, leading to right intracerebral hemorrhage.
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spelling doaj.art-5c6d1f94636f4ea7bd0083f24d2c67652022-12-21T22:00:03ZengElsevierRadiology Case Reports1930-04332022-05-0117517701772Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhageYuma Hiratsuka, MD0Hideki Endo, MD, PhD1Naoyasu Okamura, MD2Masaaki Mikamoto, MD3Bunsho Asayama, MD4Kenji Kamiyama, MD5Toshiaki Osato, MD6Hirohiko Nakamura, MD, PhD7Department of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanCorresponding author.; Department of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanDepartment of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanDepartment of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanDepartment of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanDepartment of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanDepartment of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanDepartment of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, JapanAgenesis of the left common carotid artery with separate origins of the left internal and external carotid arteries from the aorta is an extremely rare anomaly. This anomaly is typically asymptomatic unless associated with other conditions. We report a case of separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage. A 42-year-old man was transferred to our hospital by ambulance because of left hemiparesis. Computed tomography scan revealed right putaminal hemorrhage. Computed tomography angiography and digital subtraction angiography demonstrated independent origins of the left internal carotid artery and external carotid artery from the aortic arch. Right internal carotid angiography revealed blood supply to the left anterior cerebral artery and middle cerebral artery via the anterior communicating artery. The separate origins of the left internal and external carotid arteries from the aorta may cause hemodynamic stress to the contralateral side, leading to right intracerebral hemorrhage.http://www.sciencedirect.com/science/article/pii/S193004332200142XAnomalyCommon carotid arteryInternal carotid arteryExternal carotid arteryIntracerebral hemorrhage
spellingShingle Yuma Hiratsuka, MD
Hideki Endo, MD, PhD
Naoyasu Okamura, MD
Masaaki Mikamoto, MD
Bunsho Asayama, MD
Kenji Kamiyama, MD
Toshiaki Osato, MD
Hirohiko Nakamura, MD, PhD
Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage
Radiology Case Reports
Anomaly
Common carotid artery
Internal carotid artery
External carotid artery
Intracerebral hemorrhage
title Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage
title_full Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage
title_fullStr Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage
title_full_unstemmed Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage
title_short Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage
title_sort separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage
topic Anomaly
Common carotid artery
Internal carotid artery
External carotid artery
Intracerebral hemorrhage
url http://www.sciencedirect.com/science/article/pii/S193004332200142X
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