Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case report

Abstract Background Congenital absence of the internal carotid artery (ICA) is a highly infrequent congenital incidence and occurs in less than 0.01% of the population; bilateral absence is exceedingly rare, diagnosed below 10% of the unilateral absence of the ICA. Sickle cell disease (SCD) is a ser...

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Main Authors: Ivana Markovic, Zoran Milenkovic, Bosanka Jocic-Jakubi, Amna Al Futaisi, Kakaria Anupam Kakaria, Yasser Walli
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Neurology
Subjects:
Online Access:https://doi.org/10.1186/s12883-022-02702-5
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author Ivana Markovic
Zoran Milenkovic
Bosanka Jocic-Jakubi
Amna Al Futaisi
Kakaria Anupam Kakaria
Yasser Walli
author_facet Ivana Markovic
Zoran Milenkovic
Bosanka Jocic-Jakubi
Amna Al Futaisi
Kakaria Anupam Kakaria
Yasser Walli
author_sort Ivana Markovic
collection DOAJ
description Abstract Background Congenital absence of the internal carotid artery (ICA) is a highly infrequent congenital incidence and occurs in less than 0.01% of the population; bilateral absence is exceedingly rare, diagnosed below 10% of the unilateral absence of the ICA. Sickle cell disease (SCD) is a serious disorder and carries a high risk of stroke. Case presentation We present a five-year-old child with SCD who experienced an ischemic stroke episode with epileptic seizures. Neuroimaging revealed the agenesis of both ICAs. The frequency, embryology, and collateral pathway of the vascular anomaly as the clinical presentation, of this rare hematologic disease, are discussed. Conclusions Sickle cell disease (SCD) carries a high risk of stroke. Congenital absence of ICA occurs in less than 0.01% of the population; bilateral absence is diagnosed below 10% of the unilateral absence of the ICA.
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spelling doaj.art-6522b881fd5a46ce907af47e697740eb2022-12-22T02:34:24ZengBMCBMC Neurology1471-23772022-05-012211710.1186/s12883-022-02702-5Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case reportIvana Markovic0Zoran Milenkovic1Bosanka Jocic-Jakubi2Amna Al Futaisi3Kakaria Anupam Kakaria4Yasser Walli5IvanaMarkovic, Sultan Qaboos University Hospital, Radiology DepartmentGeneral Hospital “Sava Surgery”Child Health Department, Sultan Qaboos University HospitalHospital, Child Health, Sultan Qaboos University Hospital, College of Medicine and Health SciencesDepartment of Radiology and Molecular Imaging, Sultan Qaboos University HospitalChild Health Department, Sultan Qaboos University HospitalAbstract Background Congenital absence of the internal carotid artery (ICA) is a highly infrequent congenital incidence and occurs in less than 0.01% of the population; bilateral absence is exceedingly rare, diagnosed below 10% of the unilateral absence of the ICA. Sickle cell disease (SCD) is a serious disorder and carries a high risk of stroke. Case presentation We present a five-year-old child with SCD who experienced an ischemic stroke episode with epileptic seizures. Neuroimaging revealed the agenesis of both ICAs. The frequency, embryology, and collateral pathway of the vascular anomaly as the clinical presentation, of this rare hematologic disease, are discussed. Conclusions Sickle cell disease (SCD) carries a high risk of stroke. Congenital absence of ICA occurs in less than 0.01% of the population; bilateral absence is diagnosed below 10% of the unilateral absence of the ICA.https://doi.org/10.1186/s12883-022-02702-5Sickle cell diseaseStrokeSeizureInternal carotid arteryAgenesis
spellingShingle Ivana Markovic
Zoran Milenkovic
Bosanka Jocic-Jakubi
Amna Al Futaisi
Kakaria Anupam Kakaria
Yasser Walli
Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case report
BMC Neurology
Sickle cell disease
Stroke
Seizure
Internal carotid artery
Agenesis
title Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case report
title_full Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case report
title_fullStr Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case report
title_full_unstemmed Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case report
title_short Stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries. Case report
title_sort stroke in sickle cell disease in association with bilateral absence of the internal carotid arteries case report
topic Sickle cell disease
Stroke
Seizure
Internal carotid artery
Agenesis
url https://doi.org/10.1186/s12883-022-02702-5
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