Aberrant Internal Carotid Artery In The Temporal Bone

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Control of a Jugular Bulb Bleeding in Endoscopic Ear

resulting from the aberrant carotid artery or sigmoid sinus injury. The first reported case of jugular bulb bleeding was by Page in 1914 on a 10 months old girl during myringotomy procedure [9]. Radiologically, a study looking into 2020 temporal bone computed tomographies (CT) showed a high jugular bulb in 15% and dehiscence in 7.5% [10].

Glomus Tympanicum: A Report of Two Cases

of the temporal bone Type C - tumors invading the bone of the infralabyrinthine compartment of the temporal bone Type D - tumors with intra cranial extension. The most common physical sign in glomus tympanicum is a vascular middle ear mass. Two other conditions that mimic this appearance are a high jugular bulb and an aberrant internal carotid

B-ENT 13 Pulsatile tinnitus: a review

an aberrant carotid artery or high jugular bulb. Tensor tympani myoclonus is rarely associated with rhythmic movements of the tympanic membrane. Assessment of the soft palate with oral and fiberoptic examination will detect any soft palate muscle Myoclonus. Auscultation in the region of the temporal bones, orbits, neck, and chest is essential.

A cadaveric study of variations in the origin and cervical

Internal carotid artery Variations Dissection A B S T R A C T Background: The Internal carotid artery (ICA) is one of the branches arising from the Common carotid artery. A study of variability in the origin and course of the cervical part of the ICA is clinically important for vascular surgeons in performing certain stenting procedures.

Carotid Artery Prolapse and Myringocarotidopexy in

the carotid artery in the middle ear is a prolapsed not aberrant carotid artery (Figure 2). Patients with OI disease characterized by having brittle bones for that, the chance of getting spontaneous bone fractures is very high. Histopathologic studies of 8 temporal bones from 5 patients of OI, showed evidence of

Patulous eustachian tubes and an unusual case of fused

carotid arteries and the proximal ICA, while the cranial part of the dorsal aorta gives rise to the distal ICA. The external carotid arteries sprout from the common carotid arteries and receive contributions from the first and second aortic arches (Figure 6a and b). As the dorsal aorta descends into the chest, the course of the ICA straightens out.

Clinical Study Temporal Bone Pneumatization and Pulsatile

tomography (DP-CECT) of the temporal bone, and other causes of PT, which was proven by imaging examination and other clinical examination, such as aberrant internal carotid artery, abnormal emissary vein, dural arteriovenous stula, benign intracranial hypertension, carotid atheroscle-rosis, paraganglioma, high-riding or dehiscent jugular bulb,

Imaging Quiz Case Saada, Shikani, Baltimore, A to findings

The petrous carotid artery: anatomic relationships in skull base surgery. OtolaryngolHeadNeckSurg. 1990;102:3 x=req- 12. 3. Myerson MD, Ruben H, Bilbert JG. Anatomic studies of the petrous portion of the temporal bone. Arch Otolaryngol. 1934;20:195-210. 4. Anderson JM, Stevens JC, Sundt TM Jr, Stockard JJ, Pearson BW. Ectopic internal carotid


from the common carotid artery bifurcation and extends to the external opening of the temporal bone carotid canal, anteriorly it passes to the jugular aperture. A petrosal segment, (C2), - ICA is located inside the petrosal part of the temporal bone in the carotid canal. This segment extends right up to

It s Not a Cervical Lymph Node, It s a Vein: CT and MR

On unenhanced CT scans, aberrant veins may be difficult to differentiate from lymph nodes or other pathologic conditions. main trunk of the superficial temporal vein join-ing with the internal maxillary vein in the parotid gland (Fig 7b). external carotid artery and beneath the facial nerve, coursing posterior to the submandibular

ORIGINAL ARTICLE - Advanced Otology

An aberrant internal carotid artery (AICA) is a rare vascular anomally that internal carotid artery (ICA) takes in an aberrant lateral course in the temporal bone and passes through the middle ear cavity [7]. It is generally accepted to be a collateral pathway that occurs as a result of agenesis of first embryonic segment of the ICA. (Figure 4) 240

CT and MRI assessment in differential diagnosis and

-Aberrant internal carotid artery malformation (aICA): rare vascular congenital malformation of the PA, caused by regression of the cervical internal carotid artery during embryogenesis. As explained by Moret et al, the aICA represents an enlarged inferior tympanic artery anastomosing with an enlarged caroticotympanic artery. Imaging CT>>>MR.

Ruptured Carotid Artery Pseudoaneurysm in the Middle Ear

internal carotid artery. The patient was then escorted to the operating room for a postauricular infratemporal trans-petrosal approach to the pseudoaneurysm and definitive over-sewing of the external ear canal. Conclusions: Iatrogenic pseudoaneurysms resulting from violation of an aberrant carotid artery during middle ear surgery are rare


Case!Report,Betts,etal.!! JAm Osteopath CollRadiol2012;Vol.1,Issue1 Page 33 ! On! CT, the! imaging! appearance! is! nonspecific! with!a!soft!tissue!middle!ear!mass

World Journal of Surgical, Medical and Radiation Oncology

Key words: carotid artery; external carotid; internal carotid; internal jugular vein; spinal accessory artery; neck dissection. Introduction Aberrant course of Internal carotid artery in the temporal bone is often discussed, however, its variations in the neck though not rare

HRCT imaging of acquired cholesteatoma: a pictorial review

anatomy like high riding jugular bulb and aberrant internal carotid artery which could lead to catastrophic complications during surgery if left undetected preoperatively. HRCT temporal bone is useful to detect the extent of the disease, various complications, and guide the

AmeriHealth Caritas Louisiana

Dehiscence of the jugular bulb or carotid canal OR Other vascular anomalies of the temporal bone (i.e. aberrant internal carotid artery, high jugular bulb, persistent stapedial artery, aberrant petrosal sinus) Persistent symptoms after a trial of medication and four weeks of vestibular therapy (eg, Epley s maneuvers) Added:

An Aberrant Carotid Artery; Which is Underlying Cause of

Aberrant internal carotid artery is rarely seen in the middle ear cavity. Aberrant internal carotid artery can mimic dehiscence of the jugular bulb, glomus tumours, haemangiomas, and cholesterol granulomas on computed tomography. Because the symptoms and signs are usually nonspecific

Hemangioma as Mass of External Ear Canal

tumors, high jugular bulb, aberrant internal carotid artery, arterial-venous malformations and others (1). Otoscopy revealed a non pulsatile lesion and no color alteration. Even so, temporal bone CT with contrast is important to achieve differential diagnosis, limiting the lesion extension and evaluating its vascularization (6). CT did not show TM

Bilateral aberrant internal carotid arteries discovered

[9] Sauvaget E, Paris J, Kici S, et al. Aberrant internal carotid artery in the temporal bone: imaging findings and management. Arch Otolaryngol Head Neck Surg. 2006; 1: 86-91. PMid: 16415436. https://doi.org/10.1001/archotol.132.1.86 [10] Hunt JT, Andrews TM. Management of aberrant internal carotid artery injuries in children.

Magnetic Resonance Angiography in Pulsatile Tinnitus: The

tebral artery was the most often involved, with domi­ nance or hypoplasia of one side in two each of the nine cases (22.2%) and basilarization in five of the nine cases (55.5%). The carotid artery was involved in three cases (33.3%), the posteroinferior cerebellar ar­ teries (PICAs) in two (22.2%), and the anteroinferior

Aneurysms of the Temporal Bone

Aneurysms ofthe internal carotidartery in the temporal bone are rare lesions which can present clinically as a growth in the middle ear cleft. Hemorrhage, occurring spontaneously or iatrogenically, is aprimary concern. This study describes morphological and embryological charac­ teristics of the internal carotid artery in relationship to the

Internal Carotid Artery in the Middle Ear

raphy (CT) of the temporal bone revealed a vessel coursing through the hypotym-panum (Panel A, arrow) and entering the carotid canal through a dehiscence in the carotid plate a finding consistent with an aberrant right internal carotid artery. Normal structures in

Asymptomatic aberrant carotid artery of the middle ear space

First reported in 1899 at a meeting of the Austrian Otologic Society, an aberrant internal carotid artery (ICA) occurs in less than 1% of the population.1,2It is defined as an ICA that courses laterally within temporal bone and passes through the middle ear cavity.

Lateralized Carotid Artery: An Unusual Cause of Pulsatile

LATERALIZED CAROTID ARTERY: AN UNUSUAL CAUS E OF PULSATILETINNITUS The aberrant carotid artery occurs when an enlarged inferior tympanic artery anastomoses with an enlarged caroticotympanic artery as a result ofa regression ofthe cervical ICA during embryogenesis. The aberrant artery enters the tympanic cavity via an enlarged inferior tym­

Nathaniel W. Yang, MD Pulsatile Tinnitus Due to a Sigmoid

internal jugular vein. In keeping with the recommendations for clinical imaging at that time, a non-contrast CT of the temporal bone was performed. This was to evaluate for conditions such as: a middle ear glomus, an aberrant internal carotid artery, a jugular bulb variant (e.g. a high-

A reddish pulsatile mass beyond tympanic membrane - think

tween the jugular gulf and internal carotid artery at the carotid foramen level. The tissue (trans-verse diameter x longitudinal diameter 28 mm x 20 mm), in contact with the described vascular structures, reached middle ear superiorly and lat-erally (Figure 2 right side). Diagnosis of Class C glomus tumor was made. 2016; 20: 4837-4839

HRCT and MRI Temporal bone - uncommon findings

should be diagnosed in HRCT temporal bone are aberrant internal carotid artery (Fig 17) and dehiscent jugular foramen (Fig 18). Congenital Facial Nerve Hypoplasia: Congenital facial nerve hypoplasia (Fig 19) occurs as a part of other congenital inner ear malformations, or part of Moebius syndrome (Congenital Facial diplegia), congenital

Aberrant internal carotid artery The Foundation Acta

Aberrant internal carotid artery presenting as a retrotympanic vascular mass Simon Nicolay1,2, Bert De Foer1, Anja Bernaerts1, Joost Van Dinther3 and Paul M Parizel2 Abstract We report a case of a young woman with an aberrant right internal carotid artery (ICA) presenting as a retrotympanic reddish mass.

ORIGINAL ARTICLE Aberrant Internal Carotid Artery in the

tures of the vascular anomaly aberrant internal carotid artery (ICA) in the temporal bone and to discuss man-agement strategies. Design: Retrospective study. Patients: Sixteen cases of aberrant ICA were diag-nosed between 1982 and 2003. Results: Of16cases,11wererecognizedbyimagingas-sessment, 4 were recognized during middle ear surgery,


The internal carotid artery is one of the major arteries supplying the brain. angulations while coursing through petrous temporal bone & cavernous sinus & terminates by dividing into on injuries of aberrant ICA segments at the lateral &

HRCT Imaging to Determine the Frequency of Anatomic

An aberrant internal carotid artery (AICA) is a rare vascular anomaly taking an aberrant lateral course in the temporal bone and passes through the middle ear cavity.1 It will pass along the medial aspect of the middle ear coursing anteriorly across cochlear promontory to join the horizontal carotid

Aberrant internal carotid artery in the middle ear with

Key words: Carotid Artery, Internal; Jugular Vein; Tinnitus; Anatomy; Congenital Abnormalities Introduction An aberrant internal carotid artery (ICA) is a rare vascular anomaly in the middle ear. In this anomaly, the ICA takes an aberrant lateral course in the temporal bone and passes through the middle-ear cavity. The clinical symptomsand signs of aberrant ICAare often non-specific, and include hearing

The Temporal Bone

The Temporal Bone Commonly involve the inner ear Cochlear fracture - sensorineural hearing loss Labyrinthine fracture - severe vertigo Facial palsy in 50% Perilymph fistula Injury to carotid artery Transverse Fractures

MR Imaging and MR Angiography in the Evaluation of

gliomas; the other was caused by an aberrant internal carotid artery. Arteriovenous Lesions Dural AVF, the most commonly identified le­ sion, was seen in nine patients. Eight of the nine had conventional angiography and embolization; this was deferred in one patient because of com­ plicating medical illness. All had objective pulsa­

Lateralized Middle Ear Internal Carotid Artery: a Case Report

Lateralized petrous internal carotid artery: imaging features and distinction from the aberrant internal carotid artery. Neuroradiology 54(9): 1007-1013. 2. Anson BJ, Wilson JG, Gaardsmoe JP (1938) Air cells of petrous portion of temporal bone in a child four and a

Temporal Bone CT: anatomy and - bonepit.com

15/4/2011  Aberrant internal carotid artery Pulsative tinnitus Can look exactly like glomus tympanicum on coronal images Check for TUBULARITY on axials! DON T BIOPSY! 7 sign Lateral course through middle ear with dehiscence of overlying bone

Aberrant internal carotid artery in the middle ear: the

figure 2 Bone window axial high-resolution CT scan of the temporal bone from caudal to cranial. (A) The native internal carotid artery (ICA) runs in the carotid canal at the inferior surface of the petrous bone (black arrow). In a more latero-posterior position and adjacent to the jugular bulb runs the inferior tympanic artery (aberrant ICA (white

Pulsatile Tinnitus after Microvascular Decompression for

causes of an aberrant internal carotid artery, a dehiscent jugular bulb, a vascular loop in the internal auditory ca-nal, an arteriovenous fistula, atherosclerosis, and sigmoid sinus dehiscence or diverticulum.3)10) Briefly, in this type of tinnitus, there are two possible mechanisms that cause patients to perceive the pulsatile tinnitus.

Carotid-cochlear dehiscence: a dangerous mimicker of inner

examination was unremarkable. a temporal bone Ct scan revealed dehiscence between the bony carotid canal and the cochlea resulting in the diagnosis of carotid-cochlear dehiscence (CCD). CCD is an extremely rare condition involving the thinning of the bony canal separating the internal carotid artery from the cochlea.

One case, two lessons: an aberrant internal carotid artery

was closely related to an aberrant course of the puted internal carotid artery. Case the report The and case of a 31-year-old woman with the chief complaint of the long-standing, left-ear, purulent, foul-smelling otorrhea, ipsilateral ened pulsatile tinnitus, and hearing loss is described. She submitted had no history of previous surgery. Please

Vascular anatomy of the head and neck region, pictorial assay.

arch)~4%, thyroid ima artery, aberrant right subclavian artery~1% (it is the last branch of Internal carotid artery (ICA) ICA does not gives relevant branches in the H&N region posterior root of the zygomatic process of the temporal bone Fig.18a above this process it divides into two branches,

Anatomic variations of the cerebral arteries and their

aberrant course in the temporal bone and passes through the middle ear. It is associated with the absence of the bone plate between the carotid canal and tympanic cavi-ty. Steffan [3] has theorized that persistence of a stapedi-al or other anomalous artery may fix the internal carotid artery laterally within the middle ear. Most often the

eP h y s ur Anatomy & Physiology: Current nt m y o t a es

Aberrant ICA also known as aberrant intratympanic ICA is a rare anomaly in which ICA takes an anomalous course and passes through the middle ear in the temporal bone. This anomaly is associated with bone plate absence between the carotid canal and tympanic cavity [1]. Embryogenesis of ICA has been discussed by many authors [1-5]. The

CT Arteriography and Venography in Pulsatile

retrotympanic mass, CT of the temporal bone without con-trastisobtainedtoevaluateforaberrantorlateralizedinternal carotid artery (ICA), persistent stapedial artery, high-riding jugular bulb, glomus tympanicum, or cholesteatoma. For a patient with a normal otologic examination, an MR imaging examination and an MR angiogram (MRA) are obtained to

10016 2006 9074 20 6-web 809. - Home - Springer

right common carotid artery, an aberrant takeoff of the right subclavian vessel, and a common trunk of the left subclavian and left vertebral artery (Fig. 1c). The prox-imal right common carotid artery was tortuous at its origin. However, the right common carotid artery and the bifurcation were patent with no obvious occlusive disease.

Cahide ORTUÚ A Study on the Rat Stapedial Artery under the

Surgical therapy of internal carotid artery lesions of the skull base and temporal bone. Otolaryngol Head Neck Surg. 88: 548-54, 1980. 10. Goldman NC, Singleton GT, Holly EH. Aberrant internal carotid artery. Arch Otolaryngol 94: 269-73, 1971. 11. Goodman RS, Cohen NL. Aberrant internal carotid artery in the middle ear. Ann Otol 90: 67-9, 1981. 12.


The internal carotid artery (ICA) originates from the carotid bifurcation at the level of C3-C4 (C2-C3 in chil-dren) as a branch of the common carotid artery, passes through the carotid triangle in the carotid sheath collec-tively with the internal jugular vein (laterally) and vagus nerve (located between these vessels) and ascends toward