KMID : 1103720140710040169
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Journal of the Korean Society of Radiology 2014 Volume.71 No. 4 p.169 ~ p.172
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Aberrant Internal Carotid Artery in the Middle Ear
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Roh Keun-Tak
Kang Hyun-Koo
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Abstract
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The knowledge about the aberrant internal carotid artery (ICA) in the middle ear is essential for clinicians, because a misdiagnosis of the aberrant ICA could have serious consequences such as excessive aural bleeding during a middle ear surgery. A 38-year-old woman presented with tinnitus and hearing difficulties of the left ear that had started 5 years ago. During otoscopy, an anteroinferior bluish mass was seen in the tympanic space. Computed tomography and magnetic resonance imaging demonstrated a left-side aberrant ICA with bony dehiscence of the carotid canal in the middle ear and a reduced diameter of the tympanic ICA. Herein we report a case of an aberrant ICA in the middle ear. We also review the literature regarding this important vascular anomaly of the temporal bone which may lead to disastrous surgical complications.
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KEYWORD
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Aberrant Internal Carotid Artery, Computed Tomography, Magnetic Resonance Angiography
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