Artery Arising from the Internal Carotid Artery I read with interest the article by Chan et al. They stated that there was a rare congenital anastomosis between the vertebral artery (VA) and internal carotid artery (ICA) with an absence of communication between the common carotid and cervical ICA. I, however, diagnose that there was an acquired occlusion of the ICA at its origin with a developm...

Occlusion of the common carotid artery (CCA) is rare. CCA occlusion (CCAO) can present as drowsiness and right hemiplegia related to emboli after total arch replacement. Although we selected a follow-up at first because color duplex sonography showed retrograde flow from the left external carotid artery to the internal carotid artery, this patient had epilepsy and single-photon emission compute...

OBJECTIVES Bilateral carotid artery occlusion associated with lymphocytic hypophysitis is exceedingly rare. We describe this association and review the literature. METHODS The authors describe a 38-year-old woman with a history of severe headaches. Magnetic resonance (MR) imaging showed an intrasellar mass with invasion of both cavernous sinuses. Lymphocytic hypophysitis was diagnosed by tran...

BACKGROUND AND PURPOSE Measuring blood pressure (stump pressure) in the distal internal carotid artery during occlusion of the internal carotid artery is reportedly a reliable safety index with which to predict ischemia following permanent occlusion of the internal carotid artery. We compared the stump pressure during occlusion of the internal carotid artery with single-photon emission CT (SPEC...

OBJECTIVE Comprehension of the pathophysiologic characteristics of atherosclerosis has focused its attention on the study of dynamic and metabolic processes involving the vessel wall as possible causes of stroke. When compared with conventional radiologic techniques, sonography has the main advantage of being a real-time imaging modality. We report 2 acute stroke cases in which carotid sonograp...

BACKGROUND AND PURPOSE The objective of this study was to examine clinical outcomes and recanalization rates in a multicenter cohort of stroke patients receiving intravenous tissue plasminogen activator by site of occlusion localized with bedside transcranial Doppler. Angiographic studies with intraarterial thrombolysis suggest more proximal occlusions carry greater thrombus burden and benefit ...

Directed carotid cavernous fistula means high blood flow shunts between the internal carotid artery and the cavernous sinus. Obstructing the abnormal shunt between the internal carotid artery and the cavernous sinus while preserving the internal carotid artery is the key role in fistula treatment. Transarterial balloon embolization is currently the gold standard treatment for most of the caroti...

Carotid artery is the most important artery that carries the major part of the blood supply to the head and neck. The branching of the common carotid artery usually occurs at the upper edge of the thyroid cartilage. The placement of carotid sinus has also increased its importance in this area. Considering the clinical importance of knowledge about carotid artery variations, this case is reporte...

Coexistence of a ruptured intracranial aneurysm with an internal carotid arteries carotid artery occlusion, a contralateral internal carotid artery stenoses and a intracranial venous angioma is infrequent and it suppose a complicate diagnosis and therapeutic management of either disease. We report a case who underwent a first successful microsurgical clipping of the intracranial aneurysm follow...