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Related Concept Videos

Arteries of the Head and Neck01:26

Arteries of the Head and Neck

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The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
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The Arch of Aorta01:10

The Arch of Aorta

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The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
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Related Experiment Video

Updated: Apr 4, 2026

Performing Permanent Distal Middle Cerebral with Common Carotid Artery Occlusion in Aged Rats to Study Cortical Ischemia with Sustained Disability
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Performing Permanent Distal Middle Cerebral with Common Carotid Artery Occlusion in Aged Rats to Study Cortical Ischemia with Sustained Disability

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Position Dependent Carotid Impingement Causing Recurrent Strokes.

Carolyn A Cronin11, Manuel Fortes2, Teng C Lee3

  • 1Department of Neurology, University of Maryland School of Medicine, Baltimore MD, USA.

Journal of Neurology & Translational Neuroscience
|September 9, 2015
PubMed
Summary
This summary is machine-generated.

Recurrent strokes in a young man were linked to a kinked right common carotid artery, causing position-dependent vessel damage and emboli. Surgical repair resolved the issue, emphasizing vessel-adjacent structure evaluation for cryptogenic strokes.

Keywords:
StrokeStroke in Young Adults

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Area of Science:

  • Neurology
  • Vascular Surgery
  • Radiology

Background:

  • Recurrent strokes pose a significant clinical challenge, particularly in young individuals.
  • Previous trauma can lead to delayed vascular complications.
  • Cryptogenic strokes often require thorough investigation beyond typical risk factors.

Purpose of the Study:

  • To present a unique case of recurrent strokes secondary to positional compression of the carotid artery.
  • To elucidate the mechanism of position-dependent infarcts in a patient with prior vascular injury.
  • To highlight the diagnostic importance of evaluating adjacent anatomical structures in cryptogenic stroke cases.

Main Methods:

  • Case report detailing a young male patient with a four-year history of recurrent strokes.
  • Review of patient history, including a remote car accident causing vascular trauma.
  • Diagnostic imaging, including CT angiogram, to identify vascular abnormalities and infarct distribution.

Main Results:

  • All infarcts were localized to the territory of the right carotid artery.
  • CT angiogram revealed kinking and sternal contact at the origin of the right common carotid artery.
  • Surgical repair of the affected artery resulted in the cessation of further stroke events.

Conclusions:

  • Positional compression of the carotid artery due to adjacent structures can cause recurrent strokes.
  • Prior vascular trauma may predispose individuals to such positional complications.
  • Evaluation of structures adjacent to major vessels is crucial in diagnosing cryptogenic strokes.