Document Detail

Bilateral aberrant internal carotid arteries: a case report presenting with pulsatile middle ear discharge.
MedLine Citation:
PMID:  19913306     Owner:  NLM     Status:  MEDLINE    
An aberrant internal carotid artery (AICA) is a rare vascular anomaly. Misdiagnosis may lead to massive hemorrhage or other life threatening complications during even a minor surgical procedure of the tympanic membrane or middle ear. Knowledge of this rare entity is essential to any surgeon who undertakes myringotomy and middle ear surgery. Only 14 cases of bilateral AICA were reported in literature. We present a very rare case with bilateral AICA presenting with pulsatile middle ear discharge from his left ear and left sided conductive hearing loss. Tympanic membrane perforation and middle ear discharge were evaluated inaccurately as chronic otitis media on otoscopic appearance. The definitive diagnosis made after CT (computed tomography) and MRA (MR angiography). Otolaryngologists should keep in mind that the diagnosis of AICA may be obscured by chronic otitis media without radiologic examination. In this report, clinical presentation, relevant radiologic findings and management of AICA were discussed with the literature knowledge.
Sema Zer Toros; Ci?dem Tepe Karaca; H?lya No?eri; Bari? Naibo?lu; Ci?dem Kalaycik; Erol Egeli
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-11-12
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  74     ISSN:  1872-8464     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-04-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  97-8     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.
Department of Otorhinolaryngology/Head and Neck Surgery, Haydarpa?a Numune Educational and Research Hospital, Istanbul, Turkey.
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MeSH Terms
Carotid Artery, Internal / abnormalities*
Magnetic Resonance Angiography
Otitis Media with Effusion / diagnosis*,  etiology*

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