Bilateral pulsating pharynx with abnormal internal carotid artery

Rashid Al-Abri, M. H. Al Okbi, W. Al Bassam, Shaza Idris, A. El-Manzalawy

Research output: Contribution to journalArticle

Abstract

A five years old female, presented with long standing snoring & recurrent tonsillitis. Examination showed pulsating soft palate & posterior pharyngeal wall. Magnetic resonance angiography (MRA) of the carotids revealed abnormal course of the right internal carotid artery (ICA) with its proximal segment coursing medially and reaching the midline of the retropharyngeal space. The right ICA kinked 2.3 cm medially. It was 3.1 mm posterior to the right palatine tonsil & 3.5 mm away from posterior part of the adenoid. The dilemma of undergoing adenotonsillectomy was considered to be of a high risk & the patient was kept on conservative management only.

Original languageEnglish
Pages (from-to)4-6
Number of pages3
JournalInternational Journal of Pediatric Otorhinolaryngology Extra
Volume9
Issue number1
DOIs
Publication statusPublished - Jan 2014

Keywords

  • Abnormal internal carotid artery
  • Bilateral pulsating pharynx
  • Tonsillectomy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health

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