scholarly journals A Case of the Hamartoma of Middle Ear Presenting with the Aplasia of Ipsilateral Internal Carotid Artery

2021 ◽  
Vol 64 (8) ◽  
pp. 599-603
Author(s):  
Sangjun Kim ◽  
Min Gyoung Pak ◽  
Sung Wook Jeong
Keyword(s):  
Congenital Anomaly ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Tumor Tissue ◽  
Internal Carotid ◽  
Surgical Removal ◽  
Rare Congenital Anomaly ◽  
Normal Tissues ◽  
Congenital Tumor

Hamartoma is a benign congenital tumor made of an abnormal mixture of normal tissues. It is a kind of developmental anomaly, in which the tissues are arranged with an excess growth of one or more of its components. Hamartoma is usually found in the lung, hypothalamus, and colon, but very rarely found in the head and neck areas. Symptoms are caused by the tumor tissue pressing against other tissues or organs. Surgical removal is the treatment modality of choice for hamartomas causing symptoms. The aplasia of unilateral internal carotid artery (ICA) is a rare congenital anomaly. ICA aplasia can cause structural change of the middle ear space. A 5 year-old female patient was presented with large hamartoma in the middle ear and the aplasia of the ipsilateral ICA. The mass was successfully removed without any complications. Authors report this case with a brief literature review.

scholarly journals Symptomatic Internal Carotid Agenesis in Children

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Abdullah Alhaizaey ◽  
Ibrahim Alhelali ◽  
Musaed Alghamdi ◽  
Ahmed Azazy ◽  
Mohammed A. Samir
Keyword(s):  
Congenital Anomaly ◽  
Ischemic Stroke ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Rare Congenital Anomaly ◽  
Carotid Canal

Carotid artery agenesis is a rare congenital anomaly, and there are controversies in the leading cause for it. We present a 6-year-old girl with resolved focal neurological ischemic stroke that showed bilateral internal carotid artery (ICA) agenesis. Through this paper, we highlight the carotid canal congenital obliteration hypothesis as it may be a risk for such finding.

Anomalous Vessels in the Middle Ear Associated with Congenital Anomalies of the Internal Carotid Artery

ORL ◽  
1999 ◽  
Vol 61 (4) ◽  
pp. 219-223 ◽  
Author(s):  
Tetsuo Himi ◽  
Hidenari Akiba ◽  
Naoya Yama ◽  
Motomichi Sakata ◽  
Akikatsu Kataura
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Congenital Anomalies ◽  
Internal Carotid

Management of Cavernous Sinus Meningioma Presenting With Cerebrovascular Insufficiency Secondary to Cavernous Carotid Artery Occlusion: Report of 2 Cases

2018 ◽  
Vol 16 (4) ◽  
pp. 503-513 ◽  
Author(s):  
Gmaan Alzhrani ◽  
Nicholas Derrico ◽  
Hussam Abou-Al-Shaar ◽  
William T Couldwell
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Surgical Removal ◽  
Cerebrovascular Insufficiency ◽  
Cavernous Sinus Meningioma ◽  
Cavernous Carotid Artery

Abstract BACKGROUND Surgical removal of cavernous sinus meningiomas is challenging and associated with high morbidities as a result of the anatomic location and the surrounding neurovascular structures that are often invaded or encased by the tumor. Advances in radiotherapy techniques have led to the adoption of more conservative approaches in the management of cavernous sinus meningioma. Internal carotid artery encasement and invasion has been documented in these cases; however, ischemic presentation secondary to internal carotid artery stenosis or occlusion by meningioma in the region of the cavernous sinus is rare, with only few cases reported in the literature. OBJECTIVE To report our surgical technique and experience with bypass grafting for cavernous sinus meningiomas that invade or narrow the internal carotid artery. METHODS We report 2 patients who presented with signs and symptoms attributed to cavernous carotid artery occlusion secondary to cavernous sinus meningioma in the last 5 yr. Both patients were treated with flow augmentation without surgical intervention for the cavernous sinus meningioma. RESULTS In both cases, the clinical and radiological signs of cerebrovascular insufficiency improved markedly, and the patients’ tumors are currently being monitored. CONCLUSION Although the cerebrovascular insufficiency in this subset of patients is attributed to the occlusion of the cavernous carotid artery caused by the tumor, we propose treating those patients with flow augmentation first with or without radiation therapy when there is a clear imaging feature suggestive of meningioma in the absence of significant cranial nerve deficit.

An aberrant internal carotid artery in the temporal bone presenting as a middle-ear mass: a case report

2007 ◽  
Vol 122 (9) ◽  
pp. 983-985 ◽  
Author(s):  
A Eryilmaz ◽  
M Dagli ◽  
M Cayonu ◽  
E Dursun ◽  
C Gocer
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Temporal Bone ◽  
Middle Ear ◽  
Internal Carotid ◽  
Middle Ear Surgery ◽  
Computed Tomography Scan ◽  
Ear Surgery ◽  
Aberrant Internal Carotid Artery ◽  
Tomography Scan

AbstractObjective:To draw attention to the possibility of an aberrant internal carotid artery behind an intact tympanic membrane presenting as a middle-ear mass.Case:A 48-year-old female patient presented with a hearing impairment in her right ear that had started 10 years ago. Otoscopic examination revealed a retro-tympanic mass. A high resolution computed tomography scan of the temporal bone was performed that showed protrusion of the internal carotid artery into the middle ear. Magnetic resonance angiography provided excellent visualisation of the internal carotid artery. Finally, a diagnosis of an aberrant internal carotid artery was made and the patient was evaluated with a conservative approach.Conclusion:All retro-tympanic masses should ideally be visualised with a computed tomography scan of the temporal bone before any middle-ear surgery, such as tympanotomy and biopsy, and it is essential for every otologist who undertakes myringotomy and middle-ear surgery to know about this rare entity.

scholarly journals Dissection-related carotid-cavernous fistula (CCF) following surgical revascularization of chronic internal carotid artery occlusion: a new subtype of CCF and proposed management

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ao-Fei Liu ◽  
Chen Li ◽  
Wengui Yu ◽  
Li-Mei Lin ◽  
Han-Cheng Qiu ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Internal Carotid Artery Occlusion ◽  
Surgical Removal ◽  
Procedural Success ◽  
Carotid Cavernous Fistulas

Abstract Background The development of carotid-cavernous fistulas (CCFs) during surgical recanalization of chronic internal carotid artery occlusion (ICAO) may be secondary to severe ICA dissection rather than a focal tear of the cavernous ICA seen in typical traumatic CCFs. The purpose of this study is to investigate the causal relationship between the CCFs and severe ICA dissections and to characterize technical outcomes after treatment with stenting. Methods Five patients underwent treatment with self-expanding stents due to intraprocedural CCF and ICA dissection following surgical removal of ICAO plaque. The stents were telescopically placed via true channel of the dissection. Safety of the procedure was evaluated with 30-day stroke and death rate. Procedural success was determined by the efficacy of CCF obliteration and ICAO recanalization with angiography. Results All CCFs were associated with spiral and long segmental dissection from the cervical to cavernous ICA. After stenting, successful dissection reconstruction with TICI 3 was achieved in all patients, with complete (n = 4) or partial CCF (n = 1) obliteration. No patient had CCF syndrome, stroke, or death during follow-up of 6 to 37 months; but one patient had pulsatile tinnitus, which resolved 1 year later. Angiography at 6 to 24 months demonstrated CCF obliteration in all 5 patients and durable ICA patency in 4 patients. Conclusions Intraprocedural CCFs with spiral and cervical-to-cavernous ICA dissection during ICAO surgery are dissection-related because of successful obliteration after stenting for dissection reconstruction. Self-expanding stenting through true channel of the dissection, serving as implanting stent-autograft, may be an optimal therapy for the atypical CCF complication from ICAO surgery.

Aberrant internal carotid artery lying within the middle ear

1985 ◽  
Vol 27 (4) ◽  
pp. 322-326 ◽  
Author(s):  
J. D. Swartz ◽  
Margaret L. Bazarnic ◽  
T. P. Naidich ◽  
L. D. Lowry ◽  
H. T. Doan
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Internal Carotid ◽  
Aberrant Internal Carotid Artery

Aberrant Internal Carotid Artery in the Middle Ear

1981 ◽  
Vol 90 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Roy S. Goodman ◽  
Noel L. Cohen
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Internal Carotid ◽  
Stapedial Artery ◽  
Rare Anomaly ◽  
Bony Canal ◽  
Aberrant Internal Carotid Artery ◽  
Ear Symptoms

Aberrant internal carotid artery in the middle ear is a rare anomaly. Myringotomy in a patient with this anomaly caused violent hemorrhage, requiring immediate packing and eventual ligation of the artery. The anomaly may represent the artery bulging through a dehiscent bony canal, or it may be due to traction on the developing carotid by a persistent stapedial artery. Various middle ear symptoms have been reported in earlier cases. Diagnosis is by angiography, and therapy is surgical.

Otorrhagia from the “Aberrant Internal Carotid” Artery in the Middle Ear

1997 ◽  
Vol 3 (3) ◽  
pp. 231-238 ◽  
Author(s):  
M. Söderman ◽  
M. Moersdorf ◽  
M. Lysdahl ◽  
L. Mendel
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Internal Carotid ◽  
Large Artery ◽  
Arterial Aneurysm ◽  
Anatomical Variant ◽  
Cervical Portion ◽  
Aberrant Internal Carotid Artery ◽  
The Brain

Agenesis of the cervical portion of the internal carotid artery (ICA) may result in blood supply to the ipsilateral cerebral hemisphere being provided by an enlarged inferior tympanic branch of the ascending pharyngeal artery. This enlarged vessel, passing through Jacobson's canal and anastomosing with the likewise enlarged caroticotympanic branch of the ICA in front of the promontorium, may simulate a middle ear mass. We present five patients with this unusual anatomical variant, three of which underwent biopsy of what was believed to be a middle ear tumour. One patient experienced rupture of an arterial aneurysm in the middle ear successfully treated with endovascular application of detachable platinum coils. It is mandatory for ENT-surgeons and radiologists who perform head-and-neck examinations to recognize this anatomical variant, not mistaking it for a tumour, since biopsy of a large artery supplying the brain may have disastrous consequences. In patients with otorrhagia, an arterial aneurysm must be considered as a possible source of bleeding, in some cases amenable for treatment with an endovascular technique. The diagnosis of “aberrant internal carotid artery” is usually made with CT of the temporal bone or MR of the skull base. Cerebral angiography is in most cases not necessary, unless an endovascular procedure is planned.

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