Chauhan Bhanu Pratap Singh, Sahni Harkaran Singh, Gupta Jyoti, Pandya Rajan, Patidar Jayant, Jagetia Anita
Department of Neurosurgery, GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India.
Department of Radiology, Safdarjung Hospital, New Delhi, India.
J Cerebrovasc Endovasc Neurosurg. 2023 Dec;25(4):447-451. doi: 10.7461/jcen.2023.E2023.03.003. Epub 2023 Aug 14.
Developmental anomalies of internal carotid artery (ICA), being rare entities, are mostly asymptomatic by themselves because of good collateral supply. However, when present with other associated intracranial anomalies requiring treatment, there can be catastrophic consequences, if special attention is not paid to this condition. We present a case of 36 years old male, who reported to our emergency department with complaints of headache and loss of consciousness. He was diagnosed as a case of ruptured anterior communicating aneurysm with subarachnoid hemorrhage and agenesis of left ICA with trans-cavernous anastomosis. He underwent clipping of aneurysm and was discharged uneventfully. This report highlights the importance of skillful microsurgical clipping in extremely high-risk conditions, in contemporary era of hybrid neurosurgeons.
颈内动脉（ICA）发育异常较为罕见，由于侧支循环良好，多数情况下本身无症状。然而，当合并其他需要治疗的颅内异常时，如果对此情况未给予特别关注，可能会导致灾难性后果。我们报告一例36岁男性，因头痛和意识丧失到我院急诊科就诊。他被诊断为前交通动脉瘤破裂伴蛛网膜下腔出血以及左侧颈内动脉缺如伴海绵窦内吻合。他接受了动脉瘤夹闭术，术后顺利出院。本报告强调了在当代复合型神经外科医生时代，在极高风险情况下进行精湛显微外科夹闭术的重要性。
