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KMID : 1103720140710040169
Journal of the Korean Society of Radiology
2014 Volume.71 No. 4 p.169 ~ p.172
Aberrant Internal Carotid Artery in the Middle Ear
Roh Keun-Tak

Kang Hyun-Koo
Abstract
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.
KEYWORD
Aberrant Internal Carotid Artery, Computed Tomography, Magnetic Resonance Angiography
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