Case Report
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Birinci Basamakta Nadir Görülen bir Olgu: İnternal Karotis Agenezisi Olgu Sunumu

Year 2024, , 252 - 255, 20.08.2024
https://doi.org/10.24938/kutfd.1451130

Abstract

Baş ağrısı, birinci basamakta oldukça sık karşılaşılan bir şikayettir. Detaylı muayene ve görüntüleme, altta yatan çeşitli patolojileri ortaya çıkarabilme bakımından ayırıcı tanıda esastır. Bu makalede, baş ağrısının araştırılması sırasında tespit edilen bir internal karotis arter agenezisi olgusunu sunuyoruz. Hasta, 2 aydır süregelen baş ağrısı şikayetiyle aile hekimliği kliniğine başvurdu. Genel muayenede, herhangi bir patoloji veya nörolojik belirti tespit edilmedi. Ailesinde anevrizma öyküsü olması nedeniyle hasta, görüntüleme için hastaneye yönlendirildi. Manyetik Rezonans Anjiyografi, hastada tek taraflı internal karotis agenezisini gösterdi ve hasta, bu duruma eşlik edebilen serebrovasküler hastalıkları önlemek için takip altına alındı.Internal karotis agenezisisıklıkla semptomatik bir seyir izlese de nadiren nörolojik belirtiler eşliğinde görülmektedir. Bu durum tespit edildiğinde, vasküler koruyucu önlemler alınması ve yaşam tarzı değişiklikleri önerilmesi hastada ilerleyen zamanda anevrizma rüptürü veya iskemi ortaya çıkmasını önlemeyen uzun dönem koruyucu adımlardır.

Ethical Statement

Olgu sunumu olduğundan etik kurul onayı alınmamıştır. Hasta tarafından imzalanmış, bilgilendirilmiş onam formu ektedir.

Supporting Institution

yoktur

Project Number

-

References

  • Derdeyn CP, Videen TO, Yundt KD, et al. Variability of cerebral blood volume and oxygen extraction: stages of cerebral haemodynamic impairment revisited. Brain. 2002;125(Pt 3):595-607.
  • Oz II, Serifoglu I, Yazgan O, Erdem Z. Congenital absence of internal carotid artery with intercavernous anastomosis: Case report and systematic review of the literature. Interv Neuroradiol. 2016;22(4):473-480.
  • Ryan FH, Kline LB, Gomez C. Congenital Horner’s syndrome resulting from agenesis of the internal carotid artery. Ophthalmology. 2000;107(1):185-188.
  • Li S, Hooda K, Gupta N, Kumar Y. Internal carotid artery agenesis: A case report and review of literature. Neuroradiol J. 2017;30(2):186-191.
  • Tran-Dinh H, Jayasinghe LS, Merry GM. The absence of the internal carotid artery: report of two cases. Aust N Z J Surg. 1986;56(1):85-88.
  • Hou D, Mei Y, Ji Y, et al. Congenital internal carotid artery hypoplasia: Case report. Medicine (Baltimore). 2019;98(1):e13986
  • Shukla SK, Parashar S, Saxena S. Congenital absence of unilateral ınternal carotid artery with an ıntracerebral aneurysm. Asian J Neurosurg. 2018;13(3):774-776.
  • Korkmaz B, Benbir Şenel G, İnce B. İnternal karotis arteri agenezisi ile tıkanıklığı ayırıcı tanısı üzerine bir olgu sunumu. Turk J Neurol. 2015;21(135):7.
  • Tsuruta J, Miyazaki Y. A case of complete absence of the left internal carotid artery associated with an aneurysm of the anterior communicating artery. No Shinkei Geka. 1977;5(8):895-900.
  • Quint DJ, Boulos RS, Spera TD. Congenital absence of the cervical and petrous internal carotid artery with intercavernous anastomosis. Am J Neuroradiol. 1989;10(2):435-439.
  • Suri S, Lee WA, Park T, Lev S, Ramanathan A. congenital hypoplasia of the ınternal carotid artery (HICA): A short review. Brain Disorders & Therapy. 2020; 9(4):264.
  • Sun J, Jiang D, Zhang S. Bilateral internal carotid artery agenesis with artery compression of the brain parenchyma. J Neurol Sci. 2008;272(1-2):191-193.
  • Lee JH, Oh CW, Lee SH, Han DH. Aplasia of the internal carotid artery. Acta Neurochirurgica. 2003;145(2):117-125.
  • Perla FM, Carbotta G, Nardo DD et al. Agenesis of the internal carotid artery: a family pathology? G Chir. 2017;38(1):46-49.
  • Stagi S, Traficante G, Lapi E et al. Agenesis of internal carotid artery associated with isolated growth hormone deficiency: a case report and literature review. BMC Endocr Disord. 2015;15(1):58.

A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT

Year 2024, , 252 - 255, 20.08.2024
https://doi.org/10.24938/kutfd.1451130

Abstract

Headache is a quite common presenting complaint in primary care. Detailed examination and imaging are essential for differential diagnosis, as they can reveal various underlying pathologies. In this article, we present a case of internal carotid artery (ICA) agenesis which is detected during the investigation for headache. A patient presented to the family medicine clinic with a two-month history of persistent headache. The general examination did not reveal any pathology or neurological signs. Due to a family history of aneurysms, the patient was referred to the hospital for imaging. Magnetic Resonance Angiography showed unilateral ICA agenesis in the patient, and the patient was placed under follow-up to prevent accompanying cerebrovascular diseases. ICA agenesis often follows a symptomatic course but occasionally manifests with neurological symptoms. When this condition is detected, taking vascular protective measures and recommending lifestyle changes can be long-term steps to prevent pathologies such as aneurysm rupture or ischemia for the patient.

Project Number

-

References

  • Derdeyn CP, Videen TO, Yundt KD, et al. Variability of cerebral blood volume and oxygen extraction: stages of cerebral haemodynamic impairment revisited. Brain. 2002;125(Pt 3):595-607.
  • Oz II, Serifoglu I, Yazgan O, Erdem Z. Congenital absence of internal carotid artery with intercavernous anastomosis: Case report and systematic review of the literature. Interv Neuroradiol. 2016;22(4):473-480.
  • Ryan FH, Kline LB, Gomez C. Congenital Horner’s syndrome resulting from agenesis of the internal carotid artery. Ophthalmology. 2000;107(1):185-188.
  • Li S, Hooda K, Gupta N, Kumar Y. Internal carotid artery agenesis: A case report and review of literature. Neuroradiol J. 2017;30(2):186-191.
  • Tran-Dinh H, Jayasinghe LS, Merry GM. The absence of the internal carotid artery: report of two cases. Aust N Z J Surg. 1986;56(1):85-88.
  • Hou D, Mei Y, Ji Y, et al. Congenital internal carotid artery hypoplasia: Case report. Medicine (Baltimore). 2019;98(1):e13986
  • Shukla SK, Parashar S, Saxena S. Congenital absence of unilateral ınternal carotid artery with an ıntracerebral aneurysm. Asian J Neurosurg. 2018;13(3):774-776.
  • Korkmaz B, Benbir Şenel G, İnce B. İnternal karotis arteri agenezisi ile tıkanıklığı ayırıcı tanısı üzerine bir olgu sunumu. Turk J Neurol. 2015;21(135):7.
  • Tsuruta J, Miyazaki Y. A case of complete absence of the left internal carotid artery associated with an aneurysm of the anterior communicating artery. No Shinkei Geka. 1977;5(8):895-900.
  • Quint DJ, Boulos RS, Spera TD. Congenital absence of the cervical and petrous internal carotid artery with intercavernous anastomosis. Am J Neuroradiol. 1989;10(2):435-439.
  • Suri S, Lee WA, Park T, Lev S, Ramanathan A. congenital hypoplasia of the ınternal carotid artery (HICA): A short review. Brain Disorders & Therapy. 2020; 9(4):264.
  • Sun J, Jiang D, Zhang S. Bilateral internal carotid artery agenesis with artery compression of the brain parenchyma. J Neurol Sci. 2008;272(1-2):191-193.
  • Lee JH, Oh CW, Lee SH, Han DH. Aplasia of the internal carotid artery. Acta Neurochirurgica. 2003;145(2):117-125.
  • Perla FM, Carbotta G, Nardo DD et al. Agenesis of the internal carotid artery: a family pathology? G Chir. 2017;38(1):46-49.
  • Stagi S, Traficante G, Lapi E et al. Agenesis of internal carotid artery associated with isolated growth hormone deficiency: a case report and literature review. BMC Endocr Disord. 2015;15(1):58.
There are 15 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Buğu Usanma Koban 0000-0003-3849-861X

Orkun Koban 0000-0002-4721-0502

Project Number -
Publication Date August 20, 2024
Submission Date March 11, 2024
Acceptance Date June 22, 2024
Published in Issue Year 2024

Cite

APA Usanma Koban, B., & Koban, O. (2024). A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT. The Journal of Kırıkkale University Faculty of Medicine, 26(2), 252-255. https://doi.org/10.24938/kutfd.1451130
AMA Usanma Koban B, Koban O. A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT. Kırıkkale Üni Tıp Derg. August 2024;26(2):252-255. doi:10.24938/kutfd.1451130
Chicago Usanma Koban, Buğu, and Orkun Koban. “A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT”. The Journal of Kırıkkale University Faculty of Medicine 26, no. 2 (August 2024): 252-55. https://doi.org/10.24938/kutfd.1451130.
EndNote Usanma Koban B, Koban O (August 1, 2024) A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT. The Journal of Kırıkkale University Faculty of Medicine 26 2 252–255.
IEEE B. Usanma Koban and O. Koban, “A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT”, Kırıkkale Üni Tıp Derg, vol. 26, no. 2, pp. 252–255, 2024, doi: 10.24938/kutfd.1451130.
ISNAD Usanma Koban, Buğu - Koban, Orkun. “A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT”. The Journal of Kırıkkale University Faculty of Medicine 26/2 (August 2024), 252-255. https://doi.org/10.24938/kutfd.1451130.
JAMA Usanma Koban B, Koban O. A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT. Kırıkkale Üni Tıp Derg. 2024;26:252–255.
MLA Usanma Koban, Buğu and Orkun Koban. “A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT”. The Journal of Kırıkkale University Faculty of Medicine, vol. 26, no. 2, 2024, pp. 252-5, doi:10.24938/kutfd.1451130.
Vancouver Usanma Koban B, Koban O. A RARE ENCOUNTER IN PRIMARY CARE: INTERNAL CAROTID ARTERY AGENESIS- CASE REPORT. Kırıkkale Üni Tıp Derg. 2024;26(2):252-5.

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