A rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies

The retropharyngeal carotid artery (RCA) is a relatively rare anatomical malposition, and positional changes in the RCA is also extremely rare. In addition, there are some reports of ''wandering carotid artery'' which means that the carotid artery reciprocate positional changes (...

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Autores principales: Akira Baba, MD, PhD, Ryo Kurokawa, MD, PhD, Reina Kayama, MD, PhD, Yukiko Tsuneoka, MD, Mariko Kurokawa, MD, Yoshiaki Ota, MD, Taiki Suzuki, DDS, PhD, Hideomi Yamauchi, MD, PhD, Satoshi Matsushima, MD, PhD, Hiroya Ojiri, MD, PhD
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Lenguaje:EN
Publicado: Elsevier 2022
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MRI
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spelling oai:doaj.org-article:576d5318f13b482e90ceb3ac4cd2fb492021-11-30T04:14:58ZA rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies1930-043310.1016/j.radcr.2021.09.071https://doaj.org/article/576d5318f13b482e90ceb3ac4cd2fb492022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007111https://doaj.org/toc/1930-0433The retropharyngeal carotid artery (RCA) is a relatively rare anatomical malposition, and positional changes in the RCA is also extremely rare. In addition, there are some reports of ''wandering carotid artery'' which means that the carotid artery reciprocate positional changes (wandering) between its normal position and retropharyngeal regions, during follow-up evaluations. A male patient in his 50s with a chief complaint of globus pharyngeus. A pulsatile swelling of the posterior pharyngeal wall of the right side was found on clinical examination. In this case, the right carotid artery showed the clinical course of a wandering carotid artery, which reciprocated between its normal position and the retropharyngeal space during three serial MR investigations. Interestingly, both the most recent MR study and the MR study performed 4 years ago showed that the carotid artery at the level of the hyoid bone moved laterally (positional normalization) during the single MR investigation. This is a first case which showed a rare clinical course of a wandering carotid artery on serial follow-up MR studies and positional changes of carotid artery within a single MR study. It is important for clinicians to be aware of these phenomena, in order to avoid fatal and unexpected complications during clinical procedures.Akira Baba, MD, PhDRyo Kurokawa, MD, PhDReina Kayama, MD, PhDYukiko Tsuneoka, MDMariko Kurokawa, MDYoshiaki Ota, MDTaiki Suzuki, DDS, PhDHideomi Yamauchi, MD, PhDSatoshi Matsushima, MD, PhDHiroya Ojiri, MD, PhDElsevierarticleRetropharyngeal carotid arteryRetropharyngeal spaceWandering carotid arteryMRIMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 50-53 (2022)
institution DOAJ
collection DOAJ
language EN
topic Retropharyngeal carotid artery
Retropharyngeal space
Wandering carotid artery
MRI
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle Retropharyngeal carotid artery
Retropharyngeal space
Wandering carotid artery
MRI
Medical physics. Medical radiology. Nuclear medicine
R895-920
Akira Baba, MD, PhD
Ryo Kurokawa, MD, PhD
Reina Kayama, MD, PhD
Yukiko Tsuneoka, MD
Mariko Kurokawa, MD
Yoshiaki Ota, MD
Taiki Suzuki, DDS, PhD
Hideomi Yamauchi, MD, PhD
Satoshi Matsushima, MD, PhD
Hiroya Ojiri, MD, PhD
A rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies
description The retropharyngeal carotid artery (RCA) is a relatively rare anatomical malposition, and positional changes in the RCA is also extremely rare. In addition, there are some reports of ''wandering carotid artery'' which means that the carotid artery reciprocate positional changes (wandering) between its normal position and retropharyngeal regions, during follow-up evaluations. A male patient in his 50s with a chief complaint of globus pharyngeus. A pulsatile swelling of the posterior pharyngeal wall of the right side was found on clinical examination. In this case, the right carotid artery showed the clinical course of a wandering carotid artery, which reciprocated between its normal position and the retropharyngeal space during three serial MR investigations. Interestingly, both the most recent MR study and the MR study performed 4 years ago showed that the carotid artery at the level of the hyoid bone moved laterally (positional normalization) during the single MR investigation. This is a first case which showed a rare clinical course of a wandering carotid artery on serial follow-up MR studies and positional changes of carotid artery within a single MR study. It is important for clinicians to be aware of these phenomena, in order to avoid fatal and unexpected complications during clinical procedures.
format article
author Akira Baba, MD, PhD
Ryo Kurokawa, MD, PhD
Reina Kayama, MD, PhD
Yukiko Tsuneoka, MD
Mariko Kurokawa, MD
Yoshiaki Ota, MD
Taiki Suzuki, DDS, PhD
Hideomi Yamauchi, MD, PhD
Satoshi Matsushima, MD, PhD
Hiroya Ojiri, MD, PhD
author_facet Akira Baba, MD, PhD
Ryo Kurokawa, MD, PhD
Reina Kayama, MD, PhD
Yukiko Tsuneoka, MD
Mariko Kurokawa, MD
Yoshiaki Ota, MD
Taiki Suzuki, DDS, PhD
Hideomi Yamauchi, MD, PhD
Satoshi Matsushima, MD, PhD
Hiroya Ojiri, MD, PhD
author_sort Akira Baba, MD, PhD
title A rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies
title_short A rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies
title_full A rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies
title_fullStr A rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies
title_full_unstemmed A rare case of positional changes of carotid artery depicted within a single MR study and a wandering carotid artery depicted on a serial MR studies
title_sort rare case of positional changes of carotid artery depicted within a single mr study and a wandering carotid artery depicted on a serial mr studies
publisher Elsevier
publishDate 2022
url https://doaj.org/article/576d5318f13b482e90ceb3ac4cd2fb49
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