Case 2: Agenesis of the left ICA

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Presentation transcript:

Case 2: Agenesis of the left ICA Case 2: Agenesis of the left ICA. A, Source image from a 3D time-of-flight MR angiogram reveals absence of flow-related signal within the left petrous ICA (arrow).B, Compressed view from the MR angiogram displays absence of flow-related signal intensity wit... Case 2: Agenesis of the left ICA. A, Source image from a 3D time-of-flight MR angiogram reveals absence of flow-related signal within the left petrous ICA (arrow).B, Compressed view from the MR angiogram displays absence of flow-related signal intensity within the left ICA with collateral supply to the left hemisphere through a patent ACOM. Normal flow is present within the right ICA (arrowhead). Focal loss of flow-related signal intensity within the A1 segment of the right ACA (arrow) represents a clinically insignificant stenosis.C, Axial CT scan of the skull base shows absence of the left carotid canal and a normally developed right carotid canal (arrow).D, Collateral supply to the left cerebral hemisphere is provided through a patent ACOM, as demonstrated on the frontal view from the right carotid arteriogram. Stenosis of the A1 segment of the right ACA is revealed again (arrow). Curtis A. Given II et al. AJNR Am J Neuroradiol 2001;22:1953-1959 ©2001 by American Society of Neuroradiology