Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Internal carotid artery agenesis presenting with ruptured Acom aneurysm: Rare case report

  • Bhanu Pratap Singh Chauhan (Department of Neurosurgery, GB Pant Institute of Post Graduate Medical Education and Research) ;
  • Harkaran Singh Sahni (Department of Neurosurgery, GB Pant Institute of Post Graduate Medical Education and Research) ;
  • Jyoti Gupta (Department of Radiology, Safdarjung Hospital) ;
  • Rajan Pandya (Department of Neurosurgery, Goa Medical College and Hospital) ;
  • Jayant Patidar (Department of Neurosurgery, Netaji Subhash Chandra Bose Medical College and Hospital) ;
  • Anita Jagetia (Department of Neurosurgery, GB Pant Institute of Post Graduate Medical Education and Research)
  • Received : 2023.02.23
  • Accepted : 2023.06.24
  • Published : 2023.12.31
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Abstract

Developmental anomalies of internal carotid artery (ICA), being rare entities, are mostly asymptomatic by themselves because of good collateral supply. However, when present with other associated intracranial anomalies requiring treatment, there can be catastrophic consequences, if special attention is not paid to this condition. We present a case of 36 years old male, who reported to our emergency department with complaints of headache and loss of consciousness. He was diagnosed as a case of ruptured anterior communicating aneurysm with subarachnoid hemorrhage and agenesis of left ICA with trans-cavernous anastomosis. He underwent clipping of aneurysm and was discharged uneventfully. This report highlights the importance of skillful microsurgical clipping in extremely high-risk conditions, in contemporary era of hybrid neurosurgeons.

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References

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