The tunica media of the giraffe carotid artery is characterised by a predominantly muscular structure, except for a small area at the origins of the occipital and the vestigal internal carotid arteries. The latter has a preponderantly elastic structure and corresponds in extent to the parts of the carotid arterial wall innervated by a branch of the glossopharyngeal nerve. Sensory nerve terminal...

Aneurysms arising from the anterior wall of the internal carotid artery (ICA) are uncommon. There have not been any reports demonstrating the anatomical relation of such aneurysms to the optic nerve. An aneurysm arising from the anterior wall of the ICA splitting and penetrating the optic nerve is reported. A 73 year old woman presented with severe headache due to subarachnoid haemorrhage. She ...

Backgrounds: Injury to the vagus nerve or one of its branches during carotid endarterectomy can result in vocal fold paralysis but the exact mechanism of injury responsible for vocal fold paralysis after carotid endarterectomy is unclear. Aims: This study was performed to identify potential predictors of vagus nerve injury and obtain feedback by application of intraoperative continuous vagus ne...

Surgical approaches for medially oriented internal carotid artery aneurysms include the ipsilateral pterional approach, the contralateral pterional approach, the interhemispheric approach, and the interhemispheric-subfrontal approach. In the ipsilateral pterional approach, the internal carotid artery obstructs direct visualization of the aneurysmal neck. In the contralateral pterional approach,...