A 43–years–old woman without any medical history or particular treatment consulted the emergency room for fluctuant headache, developing for five days and resistant to usual treatment. The headache was associated with hypoesthesia of the left part of the face with ptosis. Clinical examination found a slight hypoesthesia in V2 and V3 territories and a Bernard-Horner’s syndrome. Brain magnetic re...

A 59-year-old woman presented with a pulsatile lump in the neck after carotid artery stenting for symptomatic focal stenosis (50–69%) of the left carotid bulb (Fig. 1A). Cervical duplex ultrasonography and computed tomography-angiography revealed a large lobulated pseudoaneurysm (measuring 2.6 × 2.4 × 2.1 cm) involving the left common and internal carotid artery (Fig. 1B and C). Swirling motion...

Lower cervical bifurcation of cervical common carotid artery (CCA) is a very rarely encountered anatomic variation. Knowing the normal vascular anatomy and also its anomalies is important in preventing the vascular complications. Ill-defined vascular anomalies may lead to massive hemorrhage and eventually death during head and neck surgery. Imaging of the neck by magnetic resonance Imaging (MRI...

BACKGROUND The impact of circle of Willis anatomical variation upon the presentation of stroke is probably underrecognized. CASE PRESENTATION A 63-year-old right-handed woman developed a left hemiparesis and right leg weakness sequentially following a road traffic accident (RTA). Despite initial concern about the possibility of cervical spinal cord injury, the final diagnosis was bilateral ar...

In patients with severe carotid artery stenosis who developed transient ischemic attack, carotid endarterectomy is one of the most effective treatments. In particular, in patients with contralateral carotid artery lesions, there is a risk of serious neurologic complications during the intra-operative period. Experienced staff can perform simultaneous bilateral carotid endarterectomy safely in c...

background: the incidence of stroke is 2.1-5.2% in bypass surgery patients with a mortality of 0-38%. this study was designed to evaluate the incidence of significant carotid artery stenosis and its related risk factors in candidates for coronary artery bypass graft (cabg) surgery. methods: 1045 consecutive candidates for cabg underwent carotid artery doppler examination in a prospective study....

The "prong deflector" tool improves accuracy and ease of access to the cervical disk spaces for use in cervical diskography. The tool allows control, deflection, and stabilization of vital neck structures (carotid artery, thyroid cartilages and pharynx) while allowing fluoroscopic visualization during needle insertion without direct operator radiation exposure. Use of the prong deflector result...

Large pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA) bifurcation using a telescoping dual covered stent graft construct. A 56-year-old male was diagno...