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  • Title: Acute infarction in a patient with agenesis of the internal carotid artery and transcavernous anastomosis.
    Author: Lee EJ, Chang HW, Ha EY, Kim SH, Kim MJ, Yi HA, Lee SK, Kim SJ.
    Journal: J Clin Neurosci; 2012 Apr; 19(4):597-9. PubMed ID: 22285476.
    Abstract:
    A 70-year-old man presented with left-sided weakness and dysarthria. His brain MRI and magnetic resonance angiography demonstrated acute infarctions in the bilateral middle cerebral artery territories in a setting of agenesis of the right internal carotid artery (ICA) with transcavernous anastomosis, a rare developmental anomaly. In this setting, atherosclerotic disease in the unilateral common carotid artery or ICA can induce acute infarctions in the bilateral anterior circulation.
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