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Tortuous Cervical and Intracranial Arteries and Basilar-Carotid Dolichoectasia

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Atlas of Normal Imaging Variations of the Brain, Skull, and Craniocervical Vasculature

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Abstract

Tortuosity most often occurs in the elderly or in the setting of atherosclerosis, but it also occurs in the uncommon patient with a collagen vascular disorder. The vertebral arteries can be tortuous at their origins or throughout the remainder of their course in the cervical and intracranial portions, and they can be particularly troublesome for interpretation or procedures in several scenarios.

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References

  1. Songur A, Gonul Y, Ozen OA, Kucuker H, Uzun I, Bas O, Toktas M. Variations in the intracranial vertebrobasilar system. Surg Radiol Anat. 2008;30:257–64.

    Article  PubMed  Google Scholar 

  2. Pico F, Labreuche J, Hauw JJ, Seilhean D, Duyckaerts C, Amarenco P. Coronary and basilar artery ectasia are associated: results from an autopsy case–control study. Stroke. 2016;47:224–7.

    Article  PubMed  Google Scholar 

  3. Matsukawa H, Shinoda M, Fujii M, Uemura A, Takahashi O, Niimi Y. Basilar dolichoectasia and the spontaneous intradural vertebral artery dissection. Brain Inj. 2016;30:90–4.

    Article  PubMed  Google Scholar 

  4. Yuan F, Lin J, Ding L, Chao Y, Wenke L, Heng Z. Hemifacial spasm and recurrent stroke due to vertebrobasilar dolichoectasia coexisting with saccular aneurysm of the basilar artery: a case report. Turk Neurosurg. 2013;23:282–4.

    PubMed  Google Scholar 

  5. Park JM, Koo JS, Kim BK, Kwon O, Lee JJ, Kang K, et al. Vertebrobasilar dolichoectasia as a risk factor for cerebral microbleeds. Eur J Neurol. 2013;20:824–30.

    Article  PubMed  Google Scholar 

  6. Passero SG, Calchetti B, Bartalini S. Intracranial bleeding in patients with vertebrobasilar dolichoectasia. Stroke. 2005;36:1421–5.

    Article  PubMed  Google Scholar 

  7. Takeuchi S, Takasato Y, Masaoka H, Hayakawa T, Otani N, Yoshino Y, et al. Dolichoectasia involving the vertebrobasilar and carotid artery systems. J Clin Neurosci. 2009;16:1344–6.

    Article  PubMed  Google Scholar 

  8. Kumral E, Kisabay A, Ataç C, Kaya C, Calli C. The mechanism of ischemic stroke in patients with dolichoectatic basilar artery. Eur J Neurol. 2005;12:437–44.

    Article  CAS  PubMed  Google Scholar 

  9. Tanaka M, Sakaguchi M, Miwa K, Okazaki S, Furukado S, Yagita Y, et al. Basilar artery diameter is an independent predictor of incident cardiovascular events. Arterioscler Thromb Vasc Biol. 2013;33:2240–4.

    Article  CAS  PubMed  Google Scholar 

  10. Borioni R, Garofalo M, Actis Dato GM, Pierri MD, Caprara E, Albano P, Chiariello L. Kinking of internal carotid artery: is it a risk factor for cerebro-vascular damage in patients undergoing cardiac surgery? J Cardiovasc Surg (Torino). 1994;35:325–6.

    CAS  Google Scholar 

  11. Togay-Işikay C, Kim J, Betterman K, Andrews C, Meads D, Tesh P, et al. Carotid artery tortuosity, kinking, coiling: stroke risk factor, marker, or curiosity? Acta Neurol Belg. 2005;105:68–72.

    PubMed  Google Scholar 

  12. Van Damme H, Gillain D, Désiron Q, Detry O, Albert A, Limet R. Kinking of the internal carotid artery: clinical significance and surgical management. Acta Chir Belg. 1996;96:15–22.

    PubMed  Google Scholar 

  13. Ballotta E, Abbruzzese E, Thiene G, Bottio T, Dagiau G, Angelini A, Saladini M. The elongation of the internal carotid artery: early and long-term results of patients having surgery compared with unoperated controls. Ann Vasc Surg. 1997;11:120–8.

    Article  CAS  PubMed  Google Scholar 

  14. Pancera P, Ribul M, Presciuttini B, Lechi A. Prevalence of carotid artery kinking in 590 consecutive subjects evaluated by Echo color doppler. Is there a correlation with arterial hypertension? J Intern Med. 2000;248:7–12.

    Article  CAS  PubMed  Google Scholar 

  15. Ovchinnikov NA, Rao RT, Rao SR. Unilateral congenital elongation of the cervical part of the internal carotid artery with kinking and looping: two case reports and review of the literature. Head Face Med. 2007;3:29.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Paulsen F, Tillmann B, Christofides C, Richter W, Koebke J. Curving and looping of the internal carotid artery in relation to the pharynx: frequency, embryology and clinical implications. J Anat. 2000;197:373–81.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Koreckij J, Alvi H, Gibly R, Pang E, Hsu WK. Incidence and risk factors of the retropharyngeal carotid artery on cervical magnetic resonance imaging. Spine (Phila Pa 1976). 2013;38:E109–12.

    Article  Google Scholar 

  18. Ozgur Z, Celik S, Govsa F, Aktug H, Ozgur T. A study of the course of the internal carotid artery in the parapharyngeal space and its clinical importance. Eur Arch Otorhinolaryngol. 2007;264:1483–9.

    Article  PubMed  Google Scholar 

  19. Lukins DE, Pilati S, Escott EJ. The moving carotid artery: a retrospective review of the retropharyngeal carotid artery and the incidence of positional changes on serial studies. AJNR Am J Neuroradiol. 2016;37:336–41.

    Article  CAS  PubMed  Google Scholar 

  20. Fard SA, Patel AS, Avila MJ, Sattarov KV, Walter CM, Skoch J, Baaj AA. Anatomic considerations of the anterior upper cervical spine during decompression and instrumentation: a cadaveric based study. J Clin Neurosci. 2015;22:1810–5.

    Article  PubMed  Google Scholar 

  21. Muñoz A, Campollo J, Vergas J. Bilateral internal carotid aneurysms presenting as a nonpulsatile parapharyngeal mass: complementary diagnosis by CT, MR imaging, and digital subtraction angiography. AJNR Am J Neuroradiol. 2001;22:864–6.

    PubMed  Google Scholar 

  22. Chan K, Richards PS, Dilkes MG. Internal carotid artery ectasia: the value of imaging studies prior to biopsy of a retropharyngeal mass. J Surg Case Rep. 2010;2010:4.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Mangrum WI, Huston 3rd J, Link MJ, Wiebers DO, McClelland RL, Christianson TJ, Flemming KD. Enlarging vertebrobasilar nonsaccular intracranial aneurysms: frequency, predictors, and clinical outcome of growth. J Neurosurg. 2005;102:72–9.

    Article  PubMed  Google Scholar 

  24. Yasui T, Komiyama M, Iwai Y, Yamanaka K, Nishikawa M, Morikawa T. Evolution of incidentally-discovered fusiform aneurysms of the vertebrobasilar arterial system: neuroimaging features suggesting progressive aneurysm growth. Neurol Med Chir (Tokyo). 2001;41:523–7; discussion 528.

    Article  CAS  Google Scholar 

  25. Savitz SI, Ronthal M, Caplan LR. Vertebral artery compression of the medulla. Arch Neurol. 2006;63:234–41.

    Article  PubMed  Google Scholar 

  26. Ho SL, Cheng PW, Wong WC, Chan FL, Lo SK, Li LS, et al. A case-controlled MRI/MRA study of neurovascular contact in hemifacial spasm. Neurology. 1999;53:2132–9.

    Article  CAS  PubMed  Google Scholar 

  27. Levy EI, Scarrow AM, Jannetta PJ. Microvascular decompression in the treatment of hypertension: review and update. Surg Neurol. 2001;55:2–11.

    Article  CAS  PubMed  Google Scholar 

  28. Lasjaunias P, Berenstein A, Ter Brugge KG. Surgical Neuroangiography, Clinical Vascular Anatomy and Variations. 2nd ed. New York: Springer-Verlag; 2001.

    Google Scholar 

  29. Roll JD, Urban MA, Larson TC, et al. Bilateral aberrant internal carotid arteries with bilateral persistent stapedial arteries and bilateral duplicated internal carotid arteries. AJNR. 2003;24:762–5.

    Google Scholar 

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Authors and Affiliations

  1. Neuroradiology Division Department of Radiology, University of Minnesota, Minneapolis, MN, USA

    Alexander M. McKinney MD, CIIP (Professor, Peterson Chair of Neuroradiology)

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  1. Alexander M. McKinney MD, CIIP
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McKinney, A.M. (2017). Tortuous Cervical and Intracranial Arteries and Basilar-Carotid Dolichoectasia. In: Atlas of Normal Imaging Variations of the Brain, Skull, and Craniocervical Vasculature . Springer, Cham. https://doi.org/10.1007/978-3-319-39790-0_34

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  • DOI: https://doi.org/10.1007/978-3-319-39790-0_34

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39789-4

  • Online ISBN: 978-3-319-39790-0

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