Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Asymptomatic Common Carotid Artery Occlusion and Occipital-Vertebral Artery Anastomosis: A Case Report and Literature Review

무증상의 총경동맥폐쇄 및 후두동맥-척추동맥 문합: 증례 보고 및 문헌 고찰

  • Yuna Choi (Department of Radiology, Seoul Medical Center) ;
  • Jun Soo Byun (Department of Radiology, Seoul Medical Center) ;
  • Hyun Seok Choi (Department of Radiology, Seoul Medical Center) ;
  • Jin Kyo Choi (Department of Neurology, Seoul Medical Center) ;
  • Sunghoon Kim (Department of Neurosurgery, Seoul Medical Center)
  • 최유나 (서울의료원 영상의학과) ;
  • 변준수 (서울의료원 영상의학과) ;
  • 최현석 (서울의료원 영상의학과) ;
  • 최진교 (서울의료원 신경과) ;
  • 김성훈 (서울의료원 신경외과)
  • Received : 2022.10.04
  • Accepted : 2022.01.20
  • Published : 2023.09.01
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Abstract

Common carotid artery occlusion (CCAO) is a very rare disorder that has rarely been studied. CCAO causes several neurological symptoms but can sometimes be asymptomatic due to the development of various anastomoses. Herein, we report the case of a 70-year-old male patient diagnosed with asymptomatic CCAO due to anastomotic flow. The patient underwent transfemoral cerebral angiography (TFCA) and was found to have CCAO with two collateral pathways, including an occipital artery-vertebral artery anastomosis. We emphasize the importance of TFCA when CCAO is suspected and review the types and anastomotic pathways of CCAO.

총경동맥 폐쇄는 비교적 드물고 거의 연구되지 않은 질병이다. 총경동맥 폐쇄는 여러 신경학적 증상을 유발하지만 다양한 문합의 발달 덕분에 때때로 무증상일 수 있다. 저자들은 문합을 통한 혈류로 인한 무증상 총경동맥 폐쇄 환자의 증례를 보고하고자 한다. 환자는 경대퇴동맥 뇌혈관 조영술을 시행하여 총경동맥 폐쇄와 후두 동맥-척추 동맥 연결을 포함한 두 가지 측부 경로가 있는 것으로 확인되었다. 저자들은 총경동맥 폐쇄가 의심되는 경우 경대퇴동맥 뇌혈관 조영술 시행이 중요함을 강조하고, 총경동맥 폐쇄의 유형 및 문합 경로를 문헌고찰하였다.

Keywords

References

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