For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
55
views
10
references
 Top references
cited by
4
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      687
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Wandering carotid arteries: Reciprocating change between normal and retropharyngeal positions on serial CT studies

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Positional change in the retropharyngeal carotid artery, a rare phenomenon over time, is even rarer in previous reports, and it is important to be aware of this before any neck surgical procedure. A woman in her 50s underwent an anterior maxillectomy for upper gingival cancer, without neck dissection. The patient had medical histories of diabetes mellitus and liver dysfunction, with unremarkable family histories. Serial neck contrast-enhanced computed tomography for detecting locoregional recurrence had been performed as a follow-up during 4 years. A radiological course of moving carotid arteries in serial computed tomography studies showed reciprocating positional changes (wandering) between normal and retropharyngeal regions. There was no locoregional recurrence of the gingival cancer. This is the first case to describe a so-rare presentation of wandering carotid arteries. It is important for clinicians to be aware of a wandering carotid artery to avoid potentially fatal complications.

          Related collections

          Most cited references10

          • Record: found
          • Abstract: found
          • Article: not found

          Tortuosity, kinking, and coiling of the carotid artery: expression of atherosclerosis or aging?

          F Pastine, B Conte, Andréa L. Corso … (1998)
          The etiology of carotid abnormalities is both congenital than acquired. The aim of this study was to clarify the role of aging and atherosclerosis in the acquired cases, and the role of these abnormalities in hemodynamic alterations and neurologic symptoms. Over a 1-year period the authors studied all the subjects undergoing carotid examination by continuous-wave and color-coded Doppler sonography at an Angiology Unit. They evaluated neurologic symptoms; risk factors for atherosclerosis; number, sites, and kinds of carotid abnormalities; atherosclerotic lesions; stenosis; hemodynamic alterations of the carotid; and other localizations of atherosclerotic diseases. There were 469 subjects: 272 (58%) with abnormalities (group 1) and 197 (42%) without abnormalities (group 2). The total number of abnormalities was 479 (104 tortuosities, 262 kinkings, and 113 coilings). The abnormalities were more prevalent in the elderly (P<0.001) and in women (P<0.001). In group 1 they found significant prevalences of hyperlipemia (P<0.001), hypertension (P<0.01), chronic cigarette smoking (P<0.01), and ischemic heart disease (P<0.05). Carotid atherosclerotic lesions were more prevalent in group 1 than in group 2 (P<0.001); among the patients with atherosclerotic carotid lesions, those in group 1 were older than those in group 2 (P<0.001). Tortuosity seemed to be associated with fewer hemodynamic alterations. The authors conclude that atherosclerosis, hypertension, and aging may play an important role in producing carotid abnormalities. The aging seemed more important than atherosclerosis. Only a prospective study of patients with carotid abnormalities and no atherosclerotic lesion will clarify the role of hemodynamics and neurologic symptomatology.
          Article 0 comments Cited 42 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Curving and looping of the internal carotid artery in relation to the pharynx: frequency, embryology and clinical implications.

            F Paulsen, B Tillmann, C Christofides … (2000)
            Variations of the course of the internal carotid artery in the parapharyngeal space and their frequency were studied in order to determine possible risks for acute haemorrhage during pharyngeal surgery and traumatic events, as well as their possible relevance to cerebrovascular disease. The course of the internal carotid artery showed no curvature in 191 cases, but in 74 cases it had a medial, lateral or ventrocaudal curve, and 17 preparations showed kinking (12) or coiling (5) out of a total of 265 dissected carotid sheaths and 17 corrosion vascular casts. In 6 cases of kinking and 2 of coiling, the internal carotid artery was located in direct contact with the tonsillar fossa. No significant sex differences were found. Variations of the internal carotid artery leading to direct contact with the pharyngeal wall are likely to be of great clinical relevance in view of the large number of routine procedures performed. Whereas coiling is ascribed to embryological causes, curving is related to ageing and kinking is thought to be exacerbated by arteriosclerosis or fibromuscular dysplasia with advancing age and may therefore be of significance in relation to the occurrence of cerebrovascular symptoms.
            Article 0 comments Cited 31 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              The Moving Carotid Artery: A Retrospective Review of the Retropharyngeal Carotid Artery and the Incidence of Positional Changes on Serial Studies.

              D.E. Lukins, S Pilati, E.J. Escott (2016)
              Retropharyngeal carotid arteries are a clinically relevant anatomic variant. Prior studies have documented their incidence, but only a single case report has discussed the change in position of the carotid artery to and from a retropharyngeal location. The purpose of this study was to determine the prevalence of retropharyngeal carotid arteries and to evaluate the change in position of retropharyngeal carotid arteries over serial CT examinations of the neck.
              Article 0 comments Cited 16 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Akira Baba
                Journal
                Journal ID (nlm-ta): Radiol Case Rep
                Journal ID (iso-abbrev): Radiol Case Rep
                Title: Radiology Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 1930-0433
                Publication date PMC-release: 09 August 2017
                Publication date Collection: December 2017
                Publication date (Electronic): 09 August 2017
                Volume: 12
                Issue: 4
                Pages: 752-755
                Affiliations
                [a ]Department of Radiology, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa-shi, Chiba 2728513, Japan
                [b ]Department of Radiology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan
                [c ]Department of Internal Medicine, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan
                Author notes
                [* ]Corresponding author. akirababa@ 123456jikei.ac.jp
                Article
                Publisher ID: S1930-0433(17)30189-9
                DOI: 10.1016/j.radcr.2017.07.007
                PMC ID: 5823308
                PubMed ID: 29484063
                SO-VID: cc4ba555-e50c-46fd-8f87-f048c6ad3ed9
                Copyright © © 2017 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 1 May 2017
                Date revision received : 24 June 2017
                Date accepted : 3 July 2017
                Categories
                Subject: Head and Neck

                Keywords: carotid artery,retropharyngeal space,retropharyngeal artery,wandering,computed tomography
                Data availability:
                Keywords: carotid artery, retropharyngeal space, retropharyngeal artery, wandering, computed tomography

                Comments

                Comment on this article

                scite_

                Similar content687

                See all similar

                Cited by4

                See all cited by

                Most referenced authors99

                See all reference authors