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  6. Anterior Circulation Acute Ischemic Stroke Due To Vertebral Artery Ostial Stenosis In A Patient With Congenital Internal Carotid Artery Agenesis: A Case Report

Anterior circulation acute ischemic stroke due to vertebral artery ostial stenosis in a patient with congenital internal carotid artery agenesis: a case report

Jie He1, Tianzhu Liu2,3, Dekang Li1

  • 1Department of neurology, Traditional Chinese Medicine Hospital of Gaoxian, Yibin, 645154, Sichuan, China.

BMC Neurology
|October 17, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Congenital agenesis of the internal carotid artery (ICA) is rare. In this case, severe vertebral artery ostial (VAO) stenosis may have caused an ischemic stroke despite the absent ICA.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Cerebrovascular Diseases

Background:

  • Congenital agenesis of the internal carotid artery (ICA) is a rare cerebrovascular variation.
  • Most cases are asymptomatic, with presentation as ischemic stroke being exceptionally rare.

Observation:

  • An 80-year-old male presented with acute ischemic stroke (AIS).
  • Imaging revealed right congenital ICA agenesis and severe right vertebral artery ostial (VAO) stenosis.
  • Common causes of AIS were excluded.

Findings:

  • The patient's AIS was attributed to severe right VAO stenosis.
  • This occurred in the context of right congenital ICA agenesis.

Implications:

  • This case highlights a rare instance of posterior circulation disease causing anterior circulation infarction.
Keywords:
Acute ischemic strokeCongenital agenesis of internal carotid arteryVertebral artery ostial stenosis

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  • It emphasizes the importance of considering atypical etiologies in cerebrovascular events, especially with rare anatomical variations like congenital ICA agenesis.