Abstract
Duplication of an extracranial internal carotid artery, a retropharyngeal carotid transposition, an aberrant internal carotid artery in the middle ear, and a persistent stapedial artery are each individually uncommon vascular variants. In this case report, we discuss a rare occurrence of all four of these variants in a single individual who presented to our emergency department with a complaint of dizziness and a recent fall. Included in the discussion is pertinent embryology and clinical associations.
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References
Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–262
Congdon ED (1922) Transformation of the aortic arch system during the development of the human embryo. Contrib Embryol 14:47–110
Lasjaunias PL, Berenstein A, ter Brugge K (2001) Surgical neuroangiography, clinical vascular anatomy and variations, 2nd edn. Springer, New York
Lasjaunias P, Moret J (2003) Normal and nonpathological variations in the angiographic aspects of the arteries of the middle ear. Neuroradiology 15:213–219 1978
Yilmaz T, Bilgen C, Savas R, Alper H (2003) Persistent stapedial artery: MR angiographic and CT findings. AJNR Am J Neuroradiol 24:1133–1135
Silbergleit R, Quint D, Mehta B, Patel S, Metes J, Noujaim S (2000) The persistent stapedial artery. AJNR Am J Neuroradiol 21:572–577
Kau T, Sinzig M, Gasser J, Lesnik G, Rbitsch E, Celedin S et al (2007) Aortic development and anomalies. Semin Intervent Radiol 24:141–152 doi:10.1055/s-2007-980040
Lau C, Oghalai J, Jackler R (2004) Combination of aberrant internal carotid artery and persistent stapedial artery. Otol Neurotol 25:850–851 doi:10.1097/00129492-200409000-00033
Mangla S, Teitelbaum G (1999) Multichannel fenestrations of the petrous segment of the internal carotid artery. AJNR Am J Neuroradiol 20:590–592
Koenigsberg R, Zito J, Patel M, Swartz J, Goldofsky E, Zahtz G (1995) Fenestration of the internal carotid artery: a rare mass of the hypotympanum associated with persistence of the stapedial artery. AJNR Am J Neuroradiol 16:908–910
Gailloud P, Carpenter J, Heck D, Murphy K (2004) Pseudofenestration of the cervical internal carotid artery: a pathologic process that simulates an anatomic variant. AJNR Am J Neuroradiol 25:421–424
Killien F, Wyler A, Cromwell L (1980) Duplication of the internal carotid artery. Neuroradiology 19:101–102 doi:10.1007/BF00342603
Vega J, Gervas C, Vega-Hazas G, Barrera C, Biurrun C (1999) Internal carotid artery transposition: another cause of widening of the retropharyngeal space. Eur Radiol 9:347–348 doi:10.1007/s003300050678
Palacios E, Kirsch D, Rojas R (2005) Anomalous course of the carotid arteries in the retropharyngeal space poses a surgical risk. Ear Nose Throat J 84(6):336–337
Shanley D (1992) Bilateral aberrant cervical internal carotid arteries. Neuroradiology 35:55–56 doi:10.1007/BF00588280
Botma M, Kell R, Bhattacharya J, Crowther J (2000) Aberrant internal carotid artery in the middle-ear space. J Laryngol Otol 114:784–787
Roll J, Urban M, Larson T, Gailloud P, Jacob P, Harnsberger H (2003) Bilateral aberrant internal carotid arteries with bilateral persistent stapedial arteries and bilateral duplicated internal carotid arteries. AJNR Am J Neuroradiol 24:762–765
Jain R, Gandhi D, Gujar S, Mukherji S (2004) Case 67: persistent stapedial artery. Radiology 230:413–416 doi:10.1148/radiol.2302021108
Storrs L (1976) II Vascular anomalies of the middle ear. Symposium: Congenital anomalies of the middle ear. Laryngoscope 86(2):247–250 (Am Laryngeal, Rhinological and Otological Society Mtg; January 19, 1975)
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McEachen, J.C., Obrzut, M. & Bokhari, S.J. A rare combination of carotid artery congenital abnormalities: understanding the embryology and clinical associations. Emerg Radiol 16, 411–414 (2009). https://doi.org/10.1007/s10140-008-0756-8
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DOI: https://doi.org/10.1007/s10140-008-0756-8