Abstract
Dysgenesia of the internal carotid artery (ICA) is a rare vascular congenital anomaly with a variety of different grades (agenesia, aplasia and hypoplasia). We report a case of 46 year old Caucasian women with history of asthma, who presented, 1 month after a neck trauma in a car accident, headache and blurred vision in the left eye. Also, she described, intermittent weakness of both hands (“she has been dropping objects”). Neurological examination was normal. Brain MRI showed no ischemic lesion, absence of the left ICA, hypoplastic right ICA. The ultrasonography examination and angiogram revealed agenesis of left ICA, hypoplasia of right ICA, right ACA from a patent anterior communicating artery, aneurysm of right subclavian artery, left vertebral megadolichoartery.
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