Arteries are elongated and twisted

Introduction Internal carotid artery distorting refers to a rare cerebrovascular disease in which the extracranial segment of the internal carotid artery is too long and dilated, resulting in distortion of the brain, ringing, and sputum. Can occur on one side. It can also be bilateral. Generally, the right side is more or heavier. Often congenital, but can also be secondary to hypertensive arteriosclerosis, causing the aortic arch to expand and up, causing the branches of the aorta to be relatively long and distorted. The arterial wall may also be weakened and deformed due to poor fiber muscle development. Distortion of the internal carotid artery and sputum increase the blood flow resistance, affecting the blood flow of the brain, and severe cases may cause insufficient blood supply to the brain.

Cause

Often congenital, but can also be secondary to hypertensive arteriosclerosis, causing the aortic arch to expand and up, causing the branches of the aorta to be relatively long and distorted. The arterial wall may also be weakened and deformed due to poor fiber muscle development. Distortion of the internal carotid artery and sputum increase the blood flow resistance, affecting the blood flow of the brain, and severe cases may cause insufficient blood supply to the brain. The chance of secondary internal carotid artery thrombosis is also more common.

an examination

Related inspection

Brain Doppler Ultrasound (TCD) Brain CT examination

Clinical manifestations may have paroxysmal dysfunction and transient ischemic attack, which is particularly easy to induce when turning the neck. Often diagnosed as a stroke, physical examination can touch the twisted, thickened, circular artery in the neck, and can hear murmurs.

Differential diagnosis

Carotid aneurysms, carotid bulbar tumors, pharyngeal abscesses, thyroid tumors, and other blood-rich tumors may have similar symptoms.

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