ArticleCureus2024
Posterior Cerebral Circulation Insufficiency Due to Internal Carotid Artery Stenosis With an Atypical Vertebral Artery Originating From the Internal Carotid Artery Territory.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aberrant anatomical variation of the vertebral artery (VA) from an internal carotid artery (ICA) is considered a rare finding. The incidence of this phenomenon can lead to patients suffering from posterior circulation neurological deficit if the ICA becomes significantly diseased. VA atypical anatomical origin is considered one of the rare pathologies, not only precipitating neurovascular incidents but equally leading to severe difficulty in VA dissection and surgical exposure, especially in carotid artery procedures. The "vertebral arteria lusoria," despite its rare incidence, ought to be considered in cases undergoing upper gastrointestinal surgeries; thus, not knowing this pathology may lead to life-threatening incidents. Furthermore, double origins of VA could be noticed in the pre-operative assessment of cases with extracranial pathology. Strokes in the posterior cerebral vascular territory, which are vertebral-basilar arteries and spinal cord perfusion deficiency, are frequently mentioned impediments to VA injury in patients with normal or aberrant VA origins. Consequently, dominant atypical VA, in absentia, atresia of the artery, completely thrombosed contralateral VA, and failure to assess the vertebrobasilar perfusion are solid triggering signs to preserve subclavian artery and atypical VA perfusion. We report a rare case of a 76-year-old female who presented with intermittent dizziness, left facial numbness, and left arm paresthesia. On investigation with computed tomographic angiography (CTA), she was incidentally found to have an aberrant anatomy of a dominant right VA arising from her right ICA and severe stenosis in the right ICA origin of 70% significant stenosis. Patients with posterior circulation symptoms and ICA stenosis may have aberrant anatomy. High-quality imaging in the form of CTA is essential prior to deciding whether and what surgery is indicated.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.