Öz
Tortuosity of the internal carotid artery affecting the pharyngeal wall is a rare anomaly, and bilateral tortuosity is even rarer. A 55-year-old male patient presented with a complaint of snoring. On physical examination, there was bulging and bilateral pulsation in the oropharyngeal wall, narrowing the passage and extending to the hypopharynx. Magnetic resonance angiography showed bilateral tortuosity of the internal carotid artery, which was thought to contribute to snoring.
Anahtar Kelimeler
Airway obstruction/etiology carotid artery internal/abnormalities magnetic resonance angiography snoring/etiology
Kaynakça
- Okami K, Onuki J, Ishida K, Kido T, Takahashi M. Tortuosity of the internal carotid artery - report of three cases and MR-angiography imaging. Auris Nasus Larynx 2001;28:373-6.
- Sichel JY, Chisin R. Tortuous internal carotid artery: a rare cause of oropharyngeal bulging diagnosed by magnetic resonance angiography. Ann Otol Rhinol Laryngol 1993;102:964-6.
- Galletti B, Bucolo S, Abbate G, Calabrese G, Romano G, Quattrocchi C, et al. Internal carotid artery transposi- tion as risk factor in pharyngeal surgery. Laryngoscope 2002;112:1845-8.
- Rojas R, Palacios E, D’Antonio M, Correa G. Aberrant internal carotid artery as a cause of pulsatile tinnitus and an intratympanic mass. Ear Nose Throat J 2003; 82:173-4.
- Tamura Y, Shimano H, Kuroiwa T, Miki Y. Trigeminal neuralgia associated with a primitive trigeminal artery variant: case report. Neurosurgery 2003;52:1217-9.
- Iwasaki S, Fujishiro Y, Abbey K. Glossopharyngeal neuralgia associated with aberrant internal carotid artery in the oropharynx. Ann Otol Rhinol Laryngol 2002;111:193-5.
- Bektas D, Caylan R, Korkmaz O, Savas FS. Acquired and congenital internal carotid artery anomalies in two cases: an important threat for the otolaryngolo- gist. Kulak Burun Bogaz Ihtis Derg 2004;13:35-7.
- Maybody M, Uszynski M, Morton E, Vitek JJ. Absence of the common carotid artery: a rare vascular anomaly. AJNR Am J Neuroradiol 2003;24:711-3.
- Leipzig TJ, Dohrmann GJ. The tortuous or kinked carotid artery: pathogenesis and clinical consider- ations. A historical review. Surg Neurol 1986;25:478-86.
Öz
İnternal karotis arterin farengeal duvarda kıvrılması nispeten nadir görülen damarsal anomalilerdendir. Arterin iki taraflı kıvrılması ise daha da az görülen bir durumdur. Horlama yakınmasıyla başvuran 55 yaşın- da erkek hastada ağız içinde farenks duvarında, iki taraflı pulsasyon gösteren bir kabarıklık görüldü. Kitle pasajı bir miktar daraltmıştı ve kabarıklık hipofarenkse doğru uzanıyordu. Manyetik rezonans anjiyografide internal karotis arter iki tarafta da kıvrılmış idi. Bu durumun horlamaya katkı yapacağı düşünüldü
Anahtar Kelimeler
Havayolu tıkanıklığı/etyoloji karotis arter internal/anormallik manyetik rezonans anjiyografi horlama/etyoloji
Kaynakça
- Okami K, Onuki J, Ishida K, Kido T, Takahashi M. Tortuosity of the internal carotid artery - report of three cases and MR-angiography imaging. Auris Nasus Larynx 2001;28:373-6.
- Sichel JY, Chisin R. Tortuous internal carotid artery: a rare cause of oropharyngeal bulging diagnosed by magnetic resonance angiography. Ann Otol Rhinol Laryngol 1993;102:964-6.
- Galletti B, Bucolo S, Abbate G, Calabrese G, Romano G, Quattrocchi C, et al. Internal carotid artery transposi- tion as risk factor in pharyngeal surgery. Laryngoscope 2002;112:1845-8.
- Rojas R, Palacios E, D’Antonio M, Correa G. Aberrant internal carotid artery as a cause of pulsatile tinnitus and an intratympanic mass. Ear Nose Throat J 2003; 82:173-4.
- Tamura Y, Shimano H, Kuroiwa T, Miki Y. Trigeminal neuralgia associated with a primitive trigeminal artery variant: case report. Neurosurgery 2003;52:1217-9.
- Iwasaki S, Fujishiro Y, Abbey K. Glossopharyngeal neuralgia associated with aberrant internal carotid artery in the oropharynx. Ann Otol Rhinol Laryngol 2002;111:193-5.
- Bektas D, Caylan R, Korkmaz O, Savas FS. Acquired and congenital internal carotid artery anomalies in two cases: an important threat for the otolaryngolo- gist. Kulak Burun Bogaz Ihtis Derg 2004;13:35-7.
- Maybody M, Uszynski M, Morton E, Vitek JJ. Absence of the common carotid artery: a rare vascular anomaly. AJNR Am J Neuroradiol 2003;24:711-3.
- Leipzig TJ, Dohrmann GJ. The tortuous or kinked carotid artery: pathogenesis and clinical consider- ations. A historical review. Surg Neurol 1986;25:478-86.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Ağustos 2008 |
| Yayımlandığı Sayı | Yıl 2008 Cilt: 18 Sayı: 4 |