DOI QR코드

DOI QR Code

A Case of Anomalous Origin and Course of Vertebral Artery in a Patient with Klippel Feil Syndrome

  • Ulusoy, Onur Levent (Department of Radiology, Istanbul Florence Nightingale Hospital) ;
  • Sasani, Hadi (Department of Radiology, Near East University School of Medicine) ;
  • Barlas, Sezgi Burcin (Department of Radiology, Istanbul Florence Nightingale Hospital) ;
  • Mutlu, Ayhan (Department of Radiology, Istanbul Florence Nightingale Hospital) ;
  • Sasani, Mehdi (Department of Anatomy, Trakya University, Faculty of Medicine)
  • 투고 : 2015.12.29
  • 심사 : 2016.04.15
  • 발행 : 2016.07.01

초록

Patients with Klippel-Feil syndrome (KFS) have an increased incidence of vascular anomalies as well as vertebral artery (VA) anomalies. In this article, we presented imaging findings of a 15-year-old female patient with KFS with a rare association of extraforaminal cranially ascending right VA that originated from the ipsilateral carotid bulb. Trifurcation of the carotid bulb with VA is a very unusual variation and to the best of our knowledge, right-sided one has not been reported in the literature.

키워드

참고문헌

  1. Ulmer JL, Elster AD, Ginsberg LE, Williams DW 3rd. Klippel-Feil syndrome: CT and MR of acquired and congenital abnormalities of cervical spine and cord. J Comput Assist Tomogr 1993;17:215-224 https://doi.org/10.1097/00004728-199303000-00010
  2. Guille JT, Sherk HH. Congenital osseous anomalies of the upper and lower cervical spine in children. J Bone Joint Surg Am 2002;84-A:277-288
  3. Sudhakar AS, Nguyen VT, Chang JB. Klippel-Feil syndrome and supra-aortic arch anomaly: a case report. Int J Angiol 2008;17:109-111
  4. Patil PV, Patil AM, Apte AV, Attarde VY. Anomalous origin of left vertebral artery from carotid bulb seen as "trifurcation" of left common carotid artery with acute infarct in ipsilateral thalamus: a case report. J Neuroimaging 2015;25:662-664 https://doi.org/10.1111/jon.12172
  5. Chen CJ, Wang LJ, Wong YC. Abnormal origin of the vertebral artery from the common carotid artery. AJNR Am J Neuroradiol 1998;19:1414-1416
  6. Vasovic L, Mojsilovic M, Andelkovic Z, Jovanovic I, Arsic S, Vlajkovic S, et al. Proatlantal intersegmental artery: a review of normal and pathological features. Childs Nerv Syst 2009;25:411-421 https://doi.org/10.1007/s00381-008-0765-7
  7. Woodcock RJ, Cloft HJ, Dion JE. Bilateral type 1 proatlantal arteries with absence of vertebral arteries. AJNR Am J Neuroradiol 2001;22:418-420
  8. Welch CS, Stark P. The five-vessel arch: independent origin of both vertebral arteries from the aortic arch. J Comput Assist Tomogr 2012;36:275-276 https://doi.org/10.1097/RCT.0b013e31824afc3d
  9. Nasir S, Hussain M, Khan SA, Mansoor MA, Sharif S. Anomalous origin of right vertebral artery from right external carotid artery. J Coll Physicians Surg Pak 2010;20:208-210
  10. Altinbas NK, Unal S, Peker A, Uzun C, Akkaya Z, Peker E. Trifurcation of the left common carotid artery. Pol J Radiol 2015;80:376-378 https://doi.org/10.12659/PJR.894579

피인용 문헌

  1. A systematic classification of the vertebral artery variable origin: clinical and surgical implications vol.40, pp.7, 2016, https://doi.org/10.1007/s00276-018-1987-3
  2. The Course of the V2 Segment of the Vertebral Arteries in Klippel-Feil Syndrome: A Case Report vol.10, pp.7, 2016, https://doi.org/10.7759/cureus.3038
  3. A case involving a giant aberrant craniocervical arteriovenous malformation vol.10, pp.None, 2016, https://doi.org/10.25259/sni-161-2019
  4. Anomalous vasculature in the neck diagnosed by ultrasound vol.23, pp.4, 2016, https://doi.org/10.1002/ajum.12211