Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/90065
Title: Carotid mycotic aneurysm associated with persistent primitive hypoglossal artery. Case report and literature review
Authors: Ho, Chi Long
Lam, Jeremy Jia Hong
McAdory, Louis Elliott
Keywords: Science::Medicine
Bacteremia
Mycotic Aneurysm
Issue Date: 2019
Source: Ho, C. L., Lam, J. J. H., & McAdory, L. E. (2019). Carotid Mycotic Aneurysm associated with Persistent Primitive Hypoglossal Artery. Case Report and Literature Review. Journal of Radiology Case Reports, 13(3), 1-7. doi:10.3941/jrcr.v13i3.3588
Series/Report no.: Journal of Radiology Case Reports
Abstract: Carotid mycotic aneurysm is extremely rare and even more unusual when it is associated with a persistent primitive hypoglossal artery. This artery is the second most common of the embryonic carotid-vertebrobasilar anastomoses. It originates from the cervical internal carotid artery and enters the cranium through a widened hypoglossal canal before anastomosing with the basilar artery. We report a case of an elderly man with a rare Salmonella-induced mycotic aneurysm associated with a persistent primitive hypoglossal artery. Surgical resection of the mycotic aneurysm was complicated by a posterior circulation stroke. To the best of our knowledge, there was no previous report of a carotid mycotic aneurysm associated with a persistent primitive hypoglossal artery thus far in the literature. Owing to the high mortality rate of the carotid mycotic aneurysm, it is imperative to be familiar with the vascular and imaging anatomy prior to surgery particularly in the presence of an embryonic carotid-vertebrobasilar anastomosis. In this report, we highlight the imaging characteristics and treatment options for this rare mycotic aneurysm together with a literature review.
URI: https://hdl.handle.net/10356/90065
http://hdl.handle.net/10220/49381
DOI: http://dx.doi.org/10.3941/jrcr.v13i3.3588
Rights: © 2019 The Author(s) (published by Journal of Radiology Case Reports). This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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