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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Elsevier
2022-05-01
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Series: | Radiology Case Reports |
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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. |
first_indexed | 2024-12-17T06:34:45Z |
format | Article |
id | doaj.art-5c6d1f94636f4ea7bd0083f24d2c6765 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-12-17T06:34:45Z |
publishDate | 2022-05-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
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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