Internal Carotid Artery Agenesis and Basilar Artery Aneurysm With Third Nerve Palsy
Agenesis of the internal carotid artery is an extremely rare vascular anomaly, occurring in less than 0.01% of the population. In most patients, this vascular anomaly is asymptomatic because the contralateral internal carotid artery, external carotid artery, or vertebrobasilar artery systems provide...
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| Veröffentlicht in: | Pediatric neurology 2010-06, Vol.42 (6), p.451-454 |
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| creator | Elazab, Nancy E., MD Riel-Romero, Rosario Maria S., MD Gonzalez-Toledo, Eduardo, MD |
| description | Agenesis of the internal carotid artery is an extremely rare vascular anomaly, occurring in less than 0.01% of the population. In most patients, this vascular anomaly is asymptomatic because the contralateral internal carotid artery, external carotid artery, or vertebrobasilar artery systems provide a sufficient arterial collateral blood supply. Carotid agenesis is evident in adults more often than in pediatric patients. We report on a 2-month-old baby with unilateral agenesis of the right internal carotid artery, basilar artery aneurysm, and right third cranial nerve palsy. These abnormalities were diagnosed incidentally using computed tomography, magnetic resonance imaging, and magnetic resonance angiogram as part of an evaluation for suspected encephalitis. According to our review of the literature, this report is the first to describe unilateral agenesis of the carotid artery presenting with ipsilateral oculomotor nerve palsy. |
| doi_str_mv | 10.1016/j.pediatrneurol.2010.02.002 |
| format | Article |
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In most patients, this vascular anomaly is asymptomatic because the contralateral internal carotid artery, external carotid artery, or vertebrobasilar artery systems provide a sufficient arterial collateral blood supply. Carotid agenesis is evident in adults more often than in pediatric patients. We report on a 2-month-old baby with unilateral agenesis of the right internal carotid artery, basilar artery aneurysm, and right third cranial nerve palsy. These abnormalities were diagnosed incidentally using computed tomography, magnetic resonance imaging, and magnetic resonance angiogram as part of an evaluation for suspected encephalitis. 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In most patients, this vascular anomaly is asymptomatic because the contralateral internal carotid artery, external carotid artery, or vertebrobasilar artery systems provide a sufficient arterial collateral blood supply. Carotid agenesis is evident in adults more often than in pediatric patients. We report on a 2-month-old baby with unilateral agenesis of the right internal carotid artery, basilar artery aneurysm, and right third cranial nerve palsy. These abnormalities were diagnosed incidentally using computed tomography, magnetic resonance imaging, and magnetic resonance angiogram as part of an evaluation for suspected encephalitis. According to our review of the literature, this report is the first to describe unilateral agenesis of the carotid artery presenting with ipsilateral oculomotor nerve palsy.</description><subject>Biological and medical sciences</subject><subject>Carotid Artery, Internal - abnormalities</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Encephalitis - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocephalus - diagnostic imaging</subject><subject>Incidental Findings</subject><subject>Infant</subject><subject>Intracranial Aneurysm - complications</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Magnetic Resonance Angiography</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Oculomotor Nerve Diseases - complications</subject><subject>Oculomotor Nerve Diseases - diagnostic imaging</subject><subject>Pediatrics</subject><subject>Radiography</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0887-8994</issn><issn>1873-5150</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNklFrFDEQx4Mo9qx-BVkQ8Wmvk2R3k0UQzqO2haJCKz6GbDJrc-5lr8luYb-9We5ssS_2aWDmN_Mf_jOEvKOwpECrk81yh9bpIXgcQ98tGaQKsCUAe0YWVAqel7SE52QBUopc1nVxRF7FuAGAsmbFS3LEoBCMAVuQqws_YPC6y9Y69IOz2SqkxJStfqHH6GKmvc0-6-g6He5rs_IUt9lPN9xk1zcu2OwrhjvMvusuTq_JizZFfHOIx-THl9Pr9Xl--e3sYr26zE1R10PecCu5KWiFxkhZMGF1VUmw2jZoNQUpKmprmxK81S0TDaVNLVuEquKFAM2PyYf93F3ob0eMg9q6aLDrtMd-jEqUhaxqKtj_Sc45lWloIj_uSRP6GAO2ahfcVodJUVCz_Wqj_rFfzfYrYCrZn7rfHnTGZov2vvev3wl4fwB0NLprg_bGxQeOpSVKOq9xuucw-XfnMKhoHHqTlAOaQdnePXGhT4_mmM55l6R_44Rx04_z7aOiKqYGdTV_zPwwNP0KSMb4H5Xqv9g</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Elazab, Nancy E., MD</creator><creator>Riel-Romero, Rosario Maria S., MD</creator><creator>Gonzalez-Toledo, Eduardo, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20100601</creationdate><title>Internal Carotid Artery Agenesis and Basilar Artery Aneurysm With Third Nerve Palsy</title><author>Elazab, Nancy E., MD ; Riel-Romero, Rosario Maria S., MD ; Gonzalez-Toledo, Eduardo, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-b3d83c416ecc88427da6680dadbeda108761d9d0da3faf27b11b98fe0663470a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Carotid Artery, Internal - abnormalities</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Encephalitis - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrocephalus - diagnostic imaging</topic><topic>Incidental Findings</topic><topic>Infant</topic><topic>Intracranial Aneurysm - complications</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Magnetic Resonance Angiography</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Oculomotor Nerve Diseases - complications</topic><topic>Oculomotor Nerve Diseases - diagnostic imaging</topic><topic>Pediatrics</topic><topic>Radiography</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elazab, Nancy E., MD</creatorcontrib><creatorcontrib>Riel-Romero, Rosario Maria S., MD</creatorcontrib><creatorcontrib>Gonzalez-Toledo, Eduardo, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Pediatric neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elazab, Nancy E., MD</au><au>Riel-Romero, Rosario Maria S., MD</au><au>Gonzalez-Toledo, Eduardo, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internal Carotid Artery Agenesis and Basilar Artery Aneurysm With Third Nerve Palsy</atitle><jtitle>Pediatric neurology</jtitle><addtitle>Pediatr Neurol</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>42</volume><issue>6</issue><spage>451</spage><epage>454</epage><pages>451-454</pages><issn>0887-8994</issn><eissn>1873-5150</eissn><abstract>Agenesis of the internal carotid artery is an extremely rare vascular anomaly, occurring in less than 0.01% of the population. In most patients, this vascular anomaly is asymptomatic because the contralateral internal carotid artery, external carotid artery, or vertebrobasilar artery systems provide a sufficient arterial collateral blood supply. Carotid agenesis is evident in adults more often than in pediatric patients. We report on a 2-month-old baby with unilateral agenesis of the right internal carotid artery, basilar artery aneurysm, and right third cranial nerve palsy. These abnormalities were diagnosed incidentally using computed tomography, magnetic resonance imaging, and magnetic resonance angiogram as part of an evaluation for suspected encephalitis. According to our review of the literature, this report is the first to describe unilateral agenesis of the carotid artery presenting with ipsilateral oculomotor nerve palsy.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20472202</pmid><doi>10.1016/j.pediatrneurol.2010.02.002</doi><tpages>4</tpages></addata></record> |
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| ispartof | Pediatric neurology, 2010-06, Vol.42 (6), p.451-454 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Biological and medical sciences Carotid Artery, Internal - abnormalities Carotid Artery, Internal - diagnostic imaging Encephalitis - diagnostic imaging Female Humans Hydrocephalus - diagnostic imaging Incidental Findings Infant Intracranial Aneurysm - complications Intracranial Aneurysm - diagnostic imaging Magnetic Resonance Angiography Magnetic Resonance Imaging Medical sciences Neurology Oculomotor Nerve Diseases - complications Oculomotor Nerve Diseases - diagnostic imaging Pediatrics Radiography Vascular diseases and vascular malformations of the nervous system |
| title | Internal Carotid Artery Agenesis and Basilar Artery Aneurysm With Third Nerve Palsy |
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