Ectopic internal carotid artery presenting as an oropharyngeal mass

被引：16

作者：

Prokopakis E.P. ^{[1
]}

Bourolias C.A. ^{[1
]}

Bizaki A.J. ^{[1
]}

Karampekios S.K. ^{[2
]}

Velegrakis G.A. ^{[1
]}

机构：

[1] Department of Otolaryngology, University of Crete, School of Medicine, Heraklion, Crete

[2] Department of Radiology, University of Crete, School of Medicine, Heraklion, Crete

来源：

Head & Face Medicine | / 4卷 / 1期

关键词：

Internal Carotid Artery; Angiosarcoma; Hypoglossal Nerve; Hemangiopericytoma; Posterior Pharyngeal Wall;

D O I：

10.1186/1746-160X-4-20

中图分类号：

学科分类号：

摘要：

Ectopic internal carotid artery (ICA) is a very rare variation. The major congenital abnormalities of the ICA can be classified as agenesis, aplasia and hypoplasia, and they can be unilateral or bilateral. Anomalies of the neck artery may be vascular neoplasms or ectopic position. Carotid angiograms provide absolute confirmation of an aberrant carotid artery, while EcoColorDoppler (ECD) gives also important information about the evaluation of carotid vassels. Nevertheless Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) of the neck provide spatial information about the adjacent pharyngeal anatomy and are less invasive than angiogram. Injuries to the ICA during simple pharyngeal surgical procedures can be catastrophic due to the risk of massive bleeding. We report a case of a 56 year-old male patient suffering from dysphagia associated with aberrant ICA manifesting itself as a pulsative protruding of the left lateral wall of the oropharynx.

引用

共 12 条

[1]

Dickins III J.R.E., Jackson C.G., Rj W., Vascular anomalies of the middle ear, Laryngoscope, 90, pp. 77-88, (1980)

[2]

Moore K.L., The developing human, Clinically Oriented Embriology W.B. Saunders Company, Philadelphia, pp. 256-257, (1973)

[3]

Quint D.J., Boulos R.S., Spera T.D., Congenital absence of the cervical and petrous internal carotid artery with intracavernous anastomosis, Am J Neurosci, 10, pp. 435-439, (1989)

[4]

Puzzolo D., Micali A., Embryological considerations on a multiple vascular anomaly in a child, Ital J Anat Embryol, 100, pp. 125-33, (1995)

[5]

Quint D.J., Silbergleit R., Young W.C., Absence of the carotid canals at skull base, Radiology, 182, pp. 477-481, (1992)

[6]

Clars P., Bandos R., Gilea I., Clars Jr. A., Capdevila A., Garcia Rodriguez J., Clars A., Major congenital anomalies of the internal carotid artery: Agenesis, aplasia and hypoplasia, Int J Pediatr Otor, 49, pp. 69-76, (1999)

[7]

Leipzig T.J., Dohrmann G.J., The tortuous or kinked carotid artery: Pathogenesis and clinical consideration-a historical review, Surg Neurol, 25, pp. 478-486, (1986)

[8]

Kelly A.B., Tortuosity of the internal carotid artery in the relation to the pharynx, J Laryngol Otol, 40, pp. 15-23, (1925)

[9]

Mc Kenzie W., Woolf C.I., Carotid abnormalities and adenoid surgery, J Laryngol Otol, 73, pp. 596-602, (1959)

[10]

Bergqvist B., Anomalies in the course of arteria carotid internal in the upper region of the pharynx, Acta Otolaryngol, 34, pp. 246-255, (1946)

← 1 2 →