Skip to main content

Advertisement

Log in

Aberrant course of the precavernous–cavernous junction of the internal carotid artery

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

We present an extremely rare case of an aberrant course of the precavernous–cavernous junction of the internal carotid artery (ICA), which was observed by magnetic resonance (MR) angiography. The patient was a 67-year-old woman with no symptoms related to the anomalous ICA. The anomalous segment of the ICA was stenotic and formed a loop postero-supero-laterally. We found no similar cases in the relevant English-language literature. Segmental agenesis of the ICA with collateral formation, probably via the proximal segment of the primitive trigeminal artery, may be associated with the development of this variation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

source image of MR angiography show a narrow and postero-laterally located affected segment of the left ICA (arrow)

Similar content being viewed by others

References

  1. Celebi I, Oz A, Yildirim H, Bankeroglu H, Basak M (2012) A case of an aberrant internal carotid artery with a persistent stapedial artery: association of hypoplasia of the A1 segment of the anterior cerebral artery. Surg Radiol Anat 34:665–670

    Article  Google Scholar 

  2. Lasjaunias P, Moret J, Manelfe C, Theron J, Hasso T, Seeger J (1977) Arterial anomalies at the base of the skull. Neuroradiology 13:267–272

    Article  CAS  Google Scholar 

  3. Uchino A, Saito N, Okano N, Kakehi Y (2015) Aberrant internal carotid artery associated with occipital artery arising from the internal carotid artery. Surg Radiol Anat 37:1137–1140

    Article  Google Scholar 

  4. Endo K, Maruyama Y, Tsukatani T, Furukawa M (2006) Aberrant internal carotid artery as a cause of objective pulsatile tinnitus. Auris Nasus Larynx 33:447–450

    Article  Google Scholar 

  5. Song YS, Yuan YY, Wang GJ, Dai P, Han DY (2012) Aberrant internal carotid artery causing objective pulsatile tinnitus and conductive hearing loss. Acta Otolaryngol 132:1126–1130

    Article  Google Scholar 

  6. Sauvaget E, Paris J, Kici S, Kania R, Guichard JP, Chapot R, Thomassin JM, Herman P, Tran Ba Huy P (2006) Aberrant internal carotid artery in the temporal bone: imaging findings and management. Arch Otolaryngol Head Neck Surg 132:86–91

    Article  Google Scholar 

  7. Uchino A, Saito N, Okada Y, Kozawa E, Mizukoshi W, Inoue K, Takahashi M (2012) Persistent trigeminal artery and its variants on MR angiography. Surg Radiol Anat 34:271–276

    Article  Google Scholar 

  8. Uchino A, Saito N, Kurita H, Ishihara S (2012) Persistent trigeminal artery arising from the arterial ring/fenestration of the cavernous segment of the internal carotid artery. Surg Radiol Anat 34:651–654

    Article  Google Scholar 

  9. Shimizu S, Sasahara G, Iida Y, Shibuya M, Numata T (2009) Aberrant internal carotid artery in the middle ear with a deficiency in the origin of the anterior cerebral artery: a case report. Auris Nasus Larynx 36:359–362

    Article  Google Scholar 

  10. Srinivasan S, Ali SZ, Chwan LT (2013) Aberrant retropharyngeal (submucosal) internal carotid artery: an under-recognized, clinically significant variant. Surg Radiol Anat 35:449–450

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

AU carried out the study design and drafted the manuscript. All authors reviewed the manuscript critically, and have read and approved the final manuscript.

Corresponding author

Correspondence to Akira Uchino.

Ethics declarations

Conflict of interest

We declare no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Uchino, A., Kimura, H. Aberrant course of the precavernous–cavernous junction of the internal carotid artery. Surg Radiol Anat 43, 1979–1981 (2021). https://doi.org/10.1007/s00276-021-02839-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-021-02839-x

Keywords

Navigation