Kinking and stenosis of the carotid artery associated with homolateral ischaemic brain infarction in a patient treated with cyclosporin A

Abstract

This case provides clinical and radiological evidence supporting an association between stenotic kinking of the carotid artery and homolateral hemispheric brain infarction.

Initial Treatment of Idiopathic Nephrotic Syndrome in Children

“…It was judged that this was not attributable to the study medication but to a kinking of his carotid artery. This case was reported in another publication (17). In total, 13% of the 152 patients were removed from the study for medical reasons and 18% for nonmedical reasons.…”

Initial Treatment of Idiopathic Nephrotic Syndrome in Children

“…It was judged that this was not attributable to the study medication but to a kinking of his carotid artery. This case was reported in another publication (17). In total, 13% of the 152 patients were removed from the study for medical reasons and 18% for nonmedical reasons.…”

Current Understanding of Dolichoarteriopathies of the Internal Carotid Artery: A Review

“…Extremely tortuous DICAs can divert their route into the pharyngeal wall and narrow pyriform sinus, which results in the DICAs presenting with a pharyngeal bulge and pulsation 9 , 72 . Therefore, awareness of DICAs is very important during pharyngeal surgical procedures because inadvertent injury or ligation of a tortuous cervical ICA during procedures for the treatment of peritonsillar abscesses, adenoid surgery or tonsillectomy can result in serious complications, including massive hemorrhage 6 , 73 - 75 . In addition to pharyngeal bulge and pulsation, DICAs can co-occur with pharyngeal foreign body sensation and odynophagia 76 .…”

“…In this case, operative intervention is rarely required, and conservative treatment can be administered. However, other DICAs can be disabling or even fatal and thus require surgical treatment to prevent occlusion of the ICA 4 - 6 . Many doubts remain regarding the etiology and best course of management for DICAs because it is difficult to correlate DICAs with the onset of clinical symptoms 7 , 8 .…”

Clinical implications of internal carotid artery tortuosity, kinking and coiling: a systematic review

“…In the anecdotal reports on the haemodynamic significance of congenital kinking of the ICA in children, hemiparesis, loss of vision, aphasia and seizures have been described. (30) There are some uncertainties about the pathophysiology of cerebral ischemia caused by the kink. In the case of a kink without a plaque, positional occlusion of the vessel is blamed.…”

Initial Treatment of Idiopathic Nephrotic Syndrome in Children

“…It was judged that this was not attributable to the study medication but to a kinking of his carotid artery. This case was reported in another publication (17). In total, 13% of the 152 patients were removed from the study for medical reasons and 18% for nonmedical reasons.…”

Current Understanding of Dolichoarteriopathies of the Internal Carotid Artery: A Review

“…Extremely tortuous DICAs can divert their route into the pharyngeal wall and narrow pyriform sinus, which results in the DICAs presenting with a pharyngeal bulge and pulsation 9 , 72 . Therefore, awareness of DICAs is very important during pharyngeal surgical procedures because inadvertent injury or ligation of a tortuous cervical ICA during procedures for the treatment of peritonsillar abscesses, adenoid surgery or tonsillectomy can result in serious complications, including massive hemorrhage 6 , 73 - 75 . In addition to pharyngeal bulge and pulsation, DICAs can co-occur with pharyngeal foreign body sensation and odynophagia 76 .…”

“…In this case, operative intervention is rarely required, and conservative treatment can be administered. However, other DICAs can be disabling or even fatal and thus require surgical treatment to prevent occlusion of the ICA 4 - 6 . Many doubts remain regarding the etiology and best course of management for DICAs because it is difficult to correlate DICAs with the onset of clinical symptoms 7 , 8 .…”

Clinical implications of internal carotid artery tortuosity, kinking and coiling: a systematic review

“…In the anecdotal reports on the haemodynamic significance of congenital kinking of the ICA in children, hemiparesis, loss of vision, aphasia and seizures have been described. (30) There are some uncertainties about the pathophysiology of cerebral ischemia caused by the kink. In the case of a kink without a plaque, positional occlusion of the vessel is blamed.…”

Initial Treatment of Idiopathic Nephrotic Syndrome in Children

“…It was judged that this was not attributable to the study medication but to a kinking of his carotid artery. This case was reported in another publication (17). In total, 13% of the 152 patients were removed from the study for medical reasons and 18% for nonmedical reasons.…”

Current Understanding of Dolichoarteriopathies of the Internal Carotid Artery: A Review

“…Extremely tortuous DICAs can divert their route into the pharyngeal wall and narrow pyriform sinus, which results in the DICAs presenting with a pharyngeal bulge and pulsation 9 , 72 . Therefore, awareness of DICAs is very important during pharyngeal surgical procedures because inadvertent injury or ligation of a tortuous cervical ICA during procedures for the treatment of peritonsillar abscesses, adenoid surgery or tonsillectomy can result in serious complications, including massive hemorrhage 6 , 73 - 75 . In addition to pharyngeal bulge and pulsation, DICAs can co-occur with pharyngeal foreign body sensation and odynophagia 76 .…”

“…In this case, operative intervention is rarely required, and conservative treatment can be administered. However, other DICAs can be disabling or even fatal and thus require surgical treatment to prevent occlusion of the ICA 4 - 6 . Many doubts remain regarding the etiology and best course of management for DICAs because it is difficult to correlate DICAs with the onset of clinical symptoms 7 , 8 .…”

Clinical implications of internal carotid artery tortuosity, kinking and coiling: a systematic review

“…In the anecdotal reports on the haemodynamic significance of congenital kinking of the ICA in children, hemiparesis, loss of vision, aphasia and seizures have been described. (30) There are some uncertainties about the pathophysiology of cerebral ischemia caused by the kink. In the case of a kink without a plaque, positional occlusion of the vessel is blamed.…”