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A possible cause of snoring: bilateral tortuosity of the internal carotid artery

Year 2008, Volume: 18 Issue: 4, 250 - 252, 30.08.2008

Abstract

Tortuosity of the internal carotid artery affecting the pharyngeal wall is a rare anomaly, and bilateral tortuosity is even rarer. A 55-year-old male patient presented with a complaint of snoring. On physical examination, there was bulging and bilateral pulsation in the oropharyngeal wall, narrowing the passage and extending to the hypopharynx. Magnetic resonance angiography showed bilateral tortuosity of the internal carotid artery, which was thought to contribute to snoring.

References

  • Okami K, Onuki J, Ishida K, Kido T, Takahashi M. Tortuosity of the internal carotid artery - report of three cases and MR-angiography imaging. Auris Nasus Larynx 2001;28:373-6.
  • Sichel JY, Chisin R. Tortuous internal carotid artery: a rare cause of oropharyngeal bulging diagnosed by magnetic resonance angiography. Ann Otol Rhinol Laryngol 1993;102:964-6.
  • Galletti B, Bucolo S, Abbate G, Calabrese G, Romano G, Quattrocchi C, et al. Internal carotid artery transposi- tion as risk factor in pharyngeal surgery. Laryngoscope 2002;112:1845-8.
  • Rojas R, Palacios E, D’Antonio M, Correa G. Aberrant internal carotid artery as a cause of pulsatile tinnitus and an intratympanic mass. Ear Nose Throat J 2003; 82:173-4.
  • Tamura Y, Shimano H, Kuroiwa T, Miki Y. Trigeminal neuralgia associated with a primitive trigeminal artery variant: case report. Neurosurgery 2003;52:1217-9.
  • Iwasaki S, Fujishiro Y, Abbey K. Glossopharyngeal neuralgia associated with aberrant internal carotid artery in the oropharynx. Ann Otol Rhinol Laryngol 2002;111:193-5.
  • Bektas D, Caylan R, Korkmaz O, Savas FS. Acquired and congenital internal carotid artery anomalies in two cases: an important threat for the otolaryngolo- gist. Kulak Burun Bogaz Ihtis Derg 2004;13:35-7.
  • Maybody M, Uszynski M, Morton E, Vitek JJ. Absence of the common carotid artery: a rare vascular anomaly. AJNR Am J Neuroradiol 2003;24:711-3.
  • Leipzig TJ, Dohrmann GJ. The tortuous or kinked carotid artery: pathogenesis and clinical consider- ations. A historical review. Surg Neurol 1986;25:478-86.

Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması

Year 2008, Volume: 18 Issue: 4, 250 - 252, 30.08.2008

Abstract

İnternal karotis arterin farengeal duvarda kıvrılması nispeten nadir görülen damarsal anomalilerdendir. Arterin iki taraflı kıvrılması ise daha da az görülen bir durumdur. Horlama yakınmasıyla başvuran 55 yaşın- da erkek hastada ağız içinde farenks duvarında, iki taraflı pulsasyon gösteren bir kabarıklık görüldü. Kitle pasajı bir miktar daraltmıştı ve kabarıklık hipofarenkse doğru uzanıyordu. Manyetik rezonans anjiyografide internal karotis arter iki tarafta da kıvrılmış idi. Bu durumun horlamaya katkı yapacağı düşünüldü

References

  • Okami K, Onuki J, Ishida K, Kido T, Takahashi M. Tortuosity of the internal carotid artery - report of three cases and MR-angiography imaging. Auris Nasus Larynx 2001;28:373-6.
  • Sichel JY, Chisin R. Tortuous internal carotid artery: a rare cause of oropharyngeal bulging diagnosed by magnetic resonance angiography. Ann Otol Rhinol Laryngol 1993;102:964-6.
  • Galletti B, Bucolo S, Abbate G, Calabrese G, Romano G, Quattrocchi C, et al. Internal carotid artery transposi- tion as risk factor in pharyngeal surgery. Laryngoscope 2002;112:1845-8.
  • Rojas R, Palacios E, D’Antonio M, Correa G. Aberrant internal carotid artery as a cause of pulsatile tinnitus and an intratympanic mass. Ear Nose Throat J 2003; 82:173-4.
  • Tamura Y, Shimano H, Kuroiwa T, Miki Y. Trigeminal neuralgia associated with a primitive trigeminal artery variant: case report. Neurosurgery 2003;52:1217-9.
  • Iwasaki S, Fujishiro Y, Abbey K. Glossopharyngeal neuralgia associated with aberrant internal carotid artery in the oropharynx. Ann Otol Rhinol Laryngol 2002;111:193-5.
  • Bektas D, Caylan R, Korkmaz O, Savas FS. Acquired and congenital internal carotid artery anomalies in two cases: an important threat for the otolaryngolo- gist. Kulak Burun Bogaz Ihtis Derg 2004;13:35-7.
  • Maybody M, Uszynski M, Morton E, Vitek JJ. Absence of the common carotid artery: a rare vascular anomaly. AJNR Am J Neuroradiol 2003;24:711-3.
  • Leipzig TJ, Dohrmann GJ. The tortuous or kinked carotid artery: pathogenesis and clinical consider- ations. A historical review. Surg Neurol 1986;25:478-86.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ahmet Eyibilen This is me

Murat Baykara

Ahmet Sacid Özbay This is me

Publication Date August 30, 2008
Published in Issue Year 2008 Volume: 18 Issue: 4

Cite

APA Eyibilen, A., Baykara, M., & Özbay, A. S. (2008). Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması. The Turkish Journal of Ear Nose and Throat, 18(4), 250-252.
AMA Eyibilen A, Baykara M, Özbay AS. Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması. Tr-ENT. August 2008;18(4):250-252.
Chicago Eyibilen, Ahmet, Murat Baykara, and Ahmet Sacid Özbay. “Horlama Nedeni Olabilecek Bir Anomali: İnternal Karotis Arterin Iki Taraflı kıvrılması”. The Turkish Journal of Ear Nose and Throat 18, no. 4 (August 2008): 250-52.
EndNote Eyibilen A, Baykara M, Özbay AS (August 1, 2008) Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması. The Turkish Journal of Ear Nose and Throat 18 4 250–252.
IEEE A. Eyibilen, M. Baykara, and A. S. Özbay, “Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması”, Tr-ENT, vol. 18, no. 4, pp. 250–252, 2008.
ISNAD Eyibilen, Ahmet et al. “Horlama Nedeni Olabilecek Bir Anomali: İnternal Karotis Arterin Iki Taraflı kıvrılması”. The Turkish Journal of Ear Nose and Throat 18/4 (August 2008), 250-252.
JAMA Eyibilen A, Baykara M, Özbay AS. Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması. Tr-ENT. 2008;18:250–252.
MLA Eyibilen, Ahmet et al. “Horlama Nedeni Olabilecek Bir Anomali: İnternal Karotis Arterin Iki Taraflı kıvrılması”. The Turkish Journal of Ear Nose and Throat, vol. 18, no. 4, 2008, pp. 250-2.
Vancouver Eyibilen A, Baykara M, Özbay AS. Horlama nedeni olabilecek bir anomali: İnternal karotis arterin iki taraflı kıvrılması. Tr-ENT. 2008;18(4):250-2.