Abstract
We describe an unusual case of hypoplasia of the left internal carotid artery associated with an anomalous origin of the ipsilateral middle cerebral artery in a patient with spasmodic torticollis. Collateral circulation to the territory of the middle cerebral artery was through the vertebrobasilar circulation, and the left vertebral artery was dilated and compressing the ventrolateral aspect of the cervicomedullary junction, as evidenced by MRI. We believe this to be the first report of unilateral hypoplasia of the internal carotid artery associated with spasmodic torticollis. Compression of the left accesory nerve by the dilated vertebral artery as a result of altered haemodynamics was thought to cause spasmodic torticollis.
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Huber P (1982) Cerebral angiography. Thieme, Stuttgart, p 57
Tanaka K, Yonekawa Y, Matsuba K (1991) Hypoplasia of the internal carotid artery. Report of an unusual case. Neurol Med Chir (Tokyo) 31:290–292
Lhermitte F, Gautier JC, Poirier J, Tyrer J (1968) Hypoplasia of the internal carotid artery. Neurology 18:439–446
Waga S, Okada M, Kojima T (1978) Saccular aneurysm associated with absence of the left cervical carotid arteries. Neurosurgery 3:208–212
Kunishio K, sunami N, Yamamoto Y, Asari S (1986) Agenesis of the left internal carotid artery, common carotid artery and main trunk of the external carotid artery associated with multiple cerebral aneurysms: case report. Neurol Surg (Tokyo) 14:873–879
Hyrtl J (1836) Neue Beobachtungen aus dem Gebiete der menschlichen und vergleichenden Anatomie. 3. Über mehrerer im Menschen vorkommende Analogien der jenigen Arterie, welche Otto Bey mehrerer Winterschläfern durch den Steigbügel verlaufend entdeckte. Med Jahresber Ost Staate 10:457
Tode (1787) Medizinisch chirurgische Bibliothek (Kopenhagen) 10:408. Cited by Krause W (1876) Die Varietäten der Arterien und Venen. In: Henle J (ed) Handbuch der System Anatomie des Menschen, vol 3, part 1, 2nd edn. Vieweg, Brunswick
Grand CM, Louryan S, Bank WO, Baleriaux D, Brotchi J, Raybaud C (1993) Agenesis of the internal carotid artery and cavernous sinus hypoplasia with contralateral cavernous sinus meningioma. Neuroradiology 35:588–590
Lie TA (1968) Congenital anomalies of the carotid arteries. Excerpta Medica, Amsterdam, pp 35–51
Tharp B, Heyman A, Pfeiffer JB, Young WG (1965) Cerebral ischemia. Result of hypoplasia of the internal carotid artery. Arch Neurol 12:160–164
Fischer AGT (1914) A case of complete absence of both internal carotid arteries, with a preliminary note on the developmental history of the stapedial artery. J Anat Physiol 48:37–45
Nussel F, Wegmuller H, Huber P (1991) Comparison of magnetic resonance angiography, magnetic resonance imaging and conventional angiography in cerebral arteriovenous malformation. Neuroradiology 33:56–61
Pagni CA, Naddeo M, Faccani G (1985) Spasmodic torticollis due to neurovascular compression of the 11th nerve. Case report. J Neurosurg 63:789–791
Shima F, Fukui M, Matsuhara T, Kitamura K (1986) Spasmodic torticollis caused by vascular compression of the spinal accessory root. Surg Neurol 26: 431–434
Jannetta PJ (1977) Observations of the etiology of trigeminal neuralgia, hemifacial spasm, acoustic nerve dysfunction and glossopharyngeal neuralgia. Definitive microsurgical treatment and results in 117 patients. Neurochirurgia (Stuttg) 20:145–154
Kikuchi K, Kamisato N, Sasajima J, Watanabe K, Kowada M (1990) Trigeminal neuralgia associated with posterior fossa arteriovenous malformation and aneurysm fed by the same artery. Case report. Neurol Med Chir (Tokyo) 30:918–921
Tokimura H, Atsuchi M, Todoroki K, Asakura T (1988) A case of cerebellar AVM onset with hemifacial spasm. Neurol Surg (Tokyo) 16:769–773
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Kikuchi, K., Kowada, M. & Kojima, H. Hypoplasia of the internal carotid artery associated with spasmodic torticollis: the possible role of altered vertebrobasilar haemodynamics. Neuroradiology 37, 362–364 (1995). https://doi.org/10.1007/BF00588012
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DOI: https://doi.org/10.1007/BF00588012