A possible cause of snoring: bilateral tortuosity of the internal carotid artery

Abstract

Tortuosity of the internal carotid artery affecting the pharyngeal wall is a rare anomaly, and bilateral tortuosity is even rarer. A 55-year-old male patient presented with a complaint of snoring. On physical examination, there was bulging and bilateral pulsation in the oropharyngeal wall, narrowing the passage and extending to the hypopharynx. Magnetic resonance angiography showed bilateral tortuosity of the internal carotid artery, which was thought to contribute to snoring.

Keywords

• Airway obstruction/etiology, carotid artery, internal/abnormalities, magnetic resonance angiography, snoring/etiology

Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması

Abstract

İnternal karotis arterin farengeal duvarda kıvrılması nispeten nadir görülen damarsal anomalilerdendir. Arterin iki taraflı kıvrılması ise daha da az görülen bir durumdur. Horlama yakınmasıyla başvuran 55 yaşın- da erkek hastada ağız içinde farenks duvarında, iki taraflı pulsasyon gösteren bir kabarıklık görüldü. Kitle pasajı bir miktar daraltmıştı ve kabarıklık hipofarenkse doğru uzanıyordu. Manyetik rezonans anjiyografide internal karotis arter iki tarafta da kıvrılmış idi. Bu durumun horlamaya katkı yapacağı düşünüldü

Keywords

• Havayolu tıkanıklığı/etyoloji, karotis arter, internal/anormallik, manyetik rezonans anjiyografi, horlama/etyoloji

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