Bent (Head-Down) Posture and Aberrant Internal Carotid Artery in the Mouth: A New Risk Factor for Stroke?
Authors: Koichi Tsunoda, Jo Aikawa, Ryusuke Murakami, Yuki Sakai, Yayoi Suzuki Kikkawa
Journal: Annals of Internal Medicine (2003)

Letters1 July 2003Bent (Head-Down) Posture and Aberrant Internal Carotid Artery in the Mouth: A New Risk Factor for Stroke?Koichi Tsunoda, MD, Jo Aikawa, MD, Ryusuke Murakami, MD, Yuki Sakai, MD, and Yayoi Suzuki Kikkawa, MDKoichi Tsunoda, MDNissan Tamagawa Hospital; Tokyo 158-0095, Japan (Tsunoda, Aikawa, Murakami)University of Tokyo; Tokyo, Japan (Sakai, Kikkawa)Search for more papers by this author, Jo Aikawa, MDNissan Tamagawa Hospital; Tokyo 158-0095, Japan (Tsunoda, Aikawa, Murakami)University of Tokyo; Tokyo, Japan (Sakai, Kikkawa)Search for more papers by this author, Ryusuke Murakami, MDNissan Tamagawa Hospital; Tokyo 158-0095, Japan (Tsunoda, Aikawa, Murakami)University of Tokyo; Tokyo, Japan (Sakai, Kikkawa)Search for more papers by this author, Yuki Sakai, MDNissan Tamagawa Hospital; Tokyo 158-0095, Japan (Tsunoda, Aikawa, Murakami)University of Tokyo; Tokyo, Japan (Sakai, Kikkawa)Search for more papers by this author, and Yayoi Suzuki Kikkawa, MDNissan Tamagawa Hospital; Tokyo 158-0095, Japan (Tsunoda, Aikawa, Murakami)University of Tokyo; Tokyo, Japan (Sakai, Kikkawa)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-1-200307010-00021-w3 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Case Report: An 84-year-old woman was referred to our otorhinolaryngology clinic by her family physician because she had difficulty swallowing. We found bilateral submucosal swellings on the posterior pharyngeal wall, both of which pulsated in synchrony with the patient's heartbeat. A three-dimensional computed tomography scan showed deviation and calcification of the internal carotid artery on both sides (Figure). Our diagnosis was bilateral aberration of the internal carotid artery in the mouth.Figure.Aberration of the internal carotid artery.Left. Three-dimensional computed tomography showing aberration of the internal carotid artery on both sides. Right. Aberrant carotid arteries in the mouth. ...References1. Tsunoda K, Takanosawa M, Matsuda K. Aberrant internal carotid artery in the mouth [Letter]. Lancet. 1997;350:340. [PMID: 9251648] CrossrefMedlineGoogle Scholar2. Olsen KD. Tumors and surgery of the parapharyngeal space. Laryngoscope. 1994;104:1-28. [PMID: 8189998] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Koichi Tsunoda, MD; Jo Aikawa, MD; Ryusuke Murakami, MD; Yuki Sakai, MD; Yayoi Suzuki Kikkawa, MDAffiliations: Nissan Tamagawa Hospital; Tokyo 158-0095, Japan (Tsunoda, Aikawa, Murakami)University of Tokyo; Tokyo, Japan (Sakai, Kikkawa) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRisk of internal carotid injury due to peritonsillar abscess drainagePitfall in the mouth caused by longevityAn oral pharyngeal scope for objective oropharyngeal examination: a new device for oropharyngeal studyDevelopment of Oropharyngeal Scope Type II with Integrated Tongue Depressor for Examination of the Oropharynx: NTOP2016 StudyRisk factors for decreased distance between internal carotid artery and pharyngeal wallCommon but Critical Sensation in Older AdultsHeight loss caused by bent posture: A risk factor for stroke from ENT clinic – is it time to reconsider the physical examination?Diagnosis and therapy for an extracranial carotid aneurysmTHE EFFECT OF RHYTHMIC AUDITORY STIMULATION (RAS) ON PHYSICAL THERAPY OUTCOMES FOR PATIENTS IN GAIT TRAINING FOLLOWING STROKE: A FEASIBILITY STUDYBent (Head-Down) Posture and Aberrant Common Carotid Arteries of the Neck: Another New Risk Factor for Stroke? 1 July 2003Volume 139, Issue 1 Page: W-56 Keywords Atherosclerosis Brain Carotid arteries Common carotid arteries Infarction Kyphosis Mouth Postural control Stroke Ultrasound imaging ePublished: 1 July 2003 Issue Published: 1 July 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...