Document Detail


Tortuous internal carotid artery presenting as a pharyngeal mass.
MedLine Citation:
PMID:  20219146     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Deformities of the carotid artery are rare. Tortuosity, kinking and coiling of the internal carotid artery may be observed with advancing age. A tortuous internal carotid artery may cause an abnormal sensation in the throat. In the early twentieth century, there were several reported cases of fatal haemorrhage during pharyngeal surgical procedures, because this condition went undetected.
METHOD AND RESULTS: We present two cases of tortuosity of the right internal carotid artery. Both women complained of abnormal throat sensations. Endoscopic studies and radiological examinations revealed tortuous right internal carotid arteries presenting as pulsatile masses. A literature review revealed that, in most reported cases, this deformity occurred on the right side. We believe that the defect and its right-sided predominance can be attributed to anatomical influences and factors affecting blood pressure.
CONCLUSION: In most reported cases of tortuous internal carotid artery, the defect occurred on the right side and patients complained of an abnormal sensation in the throat. This information is useful in the diagnosis of this condition. It is important for otolaryngologists to recognise this anomaly, because fatal haemorrhage can occur in patients with this condition during surgical procedures on the pharynx.
Authors:
S Hosokawa; H Mineta
Related Documents :
12121376 - Pituitary apoplexy presenting with an orbital bruit.
18377936 - Abducens neuromyotonia due to internal carotid artery aneurysm.
11942506 - Evaluation of topography and vascularization of cervical paragangliomas by magnetic res...
15657746 - Internal carotid artery injury during functional endoscopic sinus surgery and its manag...
108966 - Arteriographic demonstration of spontaneous right coronary artery spasm in a patient wi...
24136766 - Anomalous right coronary artery arising from the pulmonary artery and constrictive peri...
Publication Detail:
Type:  Journal Article     Date:  2010-03-11
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1033-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, Hamamatsu University School of Medicine, Japan. seijih@hama-med.ac.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Cartilage tympanoplasty: how to reduce surgery time.
Next Document:  Melioidosis and the vacuum-assisted closure device: a rare cause of a discharging neck wound, and a ...