Congenital hypoplasia of the internal carotid artery

Case contributed by Mohamed Saber , 8 Jul 2022
Diagnosis certain
Changed by Joshua Yap, 21 Jul 2022
Disclosures - updated 15 Jul 2022: Nothing to disclose

Updates to Case Attributes

Presentation was changed:
An incidentalIncidental finding in the workup of cerebral hemorrhagic venous infarction.
Body was changed:

Here is a case of congenital hypoplasia of the internal carotid artery, one of the forms of congenital absenceof the internal carotid artery (ICA), a term that encompasses agenesis, aplasia, and hypoplasia.

Many of these cases remain asymptomatic and go undetected, however, it is occasionally associated with cerebral aneurysms like in this case (https://radiopaedia.org/cases/93457).

  • -<p>Here is a case of congenital hypoplasia of the internal carotid artery, one of the forms of the <a title="Congenital absence of the internal carotid artery" href="/articles/congenital-absence-of-the-internal-carotid-artery">c</a><a href="/articles/congenital-absence-of-the-internal-carotid-artery">ongenital absence</a><strong> </strong>of the <a href="/articles/internal-carotid-artery-1">internal carotid artery (ICA)</a>, a term that encompasses agenesis, aplasia, and hypoplasia.</p><p>Many of these cases remain asymptomatic and go undetected, however, it is occasionally associated with <a href="/articles/saccular-cerebral-aneurysm">cerebral aneurysms</a> like in this case (<a href="/cases/93457">https://radiopaedia.org/cases/93457</a>).</p>
  • +<p>Here is a case of congenital hypoplasia of the internal carotid artery, one of the forms of <a href="/articles/congenital-absence-of-the-internal-carotid-artery">c</a><a href="/articles/congenital-absence-of-the-internal-carotid-artery">ongenital absence</a><strong> </strong>of the <a href="/articles/internal-carotid-artery-1">internal carotid artery (ICA)</a>, a term that encompasses agenesis, aplasia, and hypoplasia.</p><p>Many of these cases remain asymptomatic and go undetected, however, it is occasionally associated with <a href="/articles/saccular-cerebral-aneurysm">cerebral aneurysms</a> like in this case (<a href="/cases/93457">https://radiopaedia.org/cases/93457</a>).</p>

Updates to Study Attributes

Findings was changed:

MRA shows the following:

  • markedly hypoplastic left internal carotid artery is seen supplying the left ophthalmic artery
  • hypoplastic/ Aplastic/aplastic A1 segment of the left ACA
  • the left middle cerebral artery is supplied throughsupplies the left posterior cerebral artery via a large posterior communicating artery
  • normal appearance of the anterior and middle cerebral arteries
  • normal appearance of vertebrobasilar and posterior cerebral arteries

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