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Research ArticleHead and Neck Imaging

Nonbifurcating Cervical Carotid Artery Diagnosed by MR Angiography

A. Uchino, N. Saito, T. Watadani, W. Mizukoshi and R. Nakajima
American Journal of Neuroradiology June 2011, 32 (6) 1119-1122; DOI: https://doi.org/10.3174/ajnr.A2462
A. Uchino
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N. Saito
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T. Watadani
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W. Mizukoshi
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R. Nakajima
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    Fig 1.

    Case 2. Anteroposterior (A) and lateral (B) partial MIP images of the left carotid artery show a separately arising F-L trunk, a distal ECA, and the OA. There is no physiologic dilation of the ICA at its origin. Arrowheads and arrows in A indicate the most proximally arising F-L trunk and in B, the most distally arising OA.

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    Fig 2.

    Case 6. Anteroposterior MIP image (A) and lateral partial MIP image of the right carotid and vertebrobasilar arteries (B) show a straight ICA without physiologic dilation and a separately arising LA. The arrow in A indicates the LA. The FA originates from the distal ECA (arrow in B), resembling high bifurcation of the carotid artery. However, the OA arises from the right VA (arrowhead in B). C, 3D DSA of the right CCA clearly demonstrates the anomalously branching pattern. D, The short arrow indicates the LA, and the long arrow indicates the FA. DSA of a lateral projection of the right VA shows the OA arising from the level of the craniovertebral junction (arrowhead).

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    Fig 3.

    Schematic illustration of our hypothesis of a nonbifurcating cervical carotid artery in a lateral projection. A, Normal development. B, Agenesis of the most proximal ICA. C, Final configuration of this anomaly. The proximal OA or APA probably plays an important role in forming the nonbifurcating cervical carotid artery.

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    Table 1:

    Nonbifurcating cervical carotid artery in this study

    Case No./Age (yr)/Sex/Left or RightBranching Order (Proximal to Distal)Diagnostic Modality
    1/76/F/leftF-L trunk, main trunk of ECA, OAMRA
    2/60/M/leftF-L trunk, main trunk of ECA, OAMRA
    3/78/M/rightF-L trunk, main trunk of ECA, OAMRA
    4/72/M/rightF-L trunk, main trunk of ECA, OAMRA
    5/78/M/rightLA, common trunk of FA, ECA, OAMRA
    6/48/M/rightLA, common trunk of FA, ECAaMRA/angiography
    • a OA arising from the VA.

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    Table 2:

    Reported cases of a nonbifurcating cervical carotid artery in the English language literature

    Reference No./Age (yr)/Sex/Left or RightBranching Order (Proximal to Distal)Diagnostic Modality
    1/52/M/leftLA, FA, main trunk of ECA, OAAutopsy
    2/43/M/leftF-L trunk, main trunk of ECAaAngiography/surgery
    3/55/F/leftLA, FA, main trunk of ECA, OAAngiography
    4/76/M/leftF-L trunk, main trunk of ECAaAngiography
    5/67/M/leftLA, FA, main trunk of ECA, OAAutopsy
    6/66/M/rightLA, FA, main trunk of ECAaAngiography/MRA/surgery
    7/75/F/leftF-L trunk, OA, main trunk of ECAAngiography
    7/67/F/leftF-L trunk, main trunk of ECA, OAAngiography
    7/65/M/leftF-L trunk, main trunk of ECA, OAAngiography
    8/64/F/rightLA, FA, main trunk of ECAaAngiography
    9/71/M/rightLA, FA, main trunk of ECA, OAAngiography
    • a OA arising from the carotid artery could not be identified.

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American Journal of Neuroradiology: 32 (6)
American Journal of Neuroradiology
Vol. 32, Issue 6
1 Jun 2011
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Cite this article
A. Uchino, N. Saito, T. Watadani, W. Mizukoshi, R. Nakajima
Nonbifurcating Cervical Carotid Artery Diagnosed by MR Angiography
American Journal of Neuroradiology Jun 2011, 32 (6) 1119-1122; DOI: 10.3174/ajnr.A2462

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Nonbifurcating Cervical Carotid Artery Diagnosed by MR Angiography
A. Uchino, N. Saito, T. Watadani, W. Mizukoshi, R. Nakajima
American Journal of Neuroradiology Jun 2011, 32 (6) 1119-1122; DOI: 10.3174/ajnr.A2462
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