Case Report

Volume: 3 | Issue: 1 | Published: Jan 13, 2019 | Pages: 19 - 23 | DOI: 10.24911/ejmcr/173-1538062172

Atypical Presentation of Type I Right Common Carotid Artery (CCA) Thrombotic Occlusion: Case Report


Authors: Sonali Singh , Bharat Bhushan Sharma , Neeru Kapur , Shantnu Singh Chauhan , Mir Rizwan Aziz , Dileep Kumar Jha


Article Info

Authors

Sonali Singh

Department of Ophthalmology, SGT Medical College, Budhera (Gurgaon), India

Bharat Bhushan Sharma

Department of Radio-diagnosis, SGT Medical College, Budhera (Gurgaon), India

Neeru Kapur

Department of Radio-diagnosis, SGT Medical College, Budhera (Gurgaon), India

Shantnu Singh Chauhan

Department of Radio-diagnosis, SGT Medical College, Budhera (Gurgaon), India

Mir Rizwan Aziz

Department of Radio-diagnosis, SGT Medical College, Budhera (Gurgaon), India

Dileep Kumar Jha

Department of Radio-diagnosis, SGT Medical College, Budhera (Gurgaon), India

Publication History

Received: September 27, 2018

Accepted: December 21, 2018

Published: January 13, 2019


Abstract


Background: Common carotid artery occlusion (CCAO) can be noticed while carrying out routine sonography and color flow imaging (CFI) of the carotid vessels. The complete evaluation is required when detected in these types of cases. The presenting feature may vary from minor to the major category. Internal carotid artery (ICA) and external carotid artery (ECA) may or may not be the part of occlusion. Case report: we report a 39-years old male who reported with sudden loss of vision in right eye. He underwent carotid ultrasonography (US) and was found to be having complete occlusion of right CCA and ICA. Conclusion: Non alarming stroke may not be the finding in complete occlusion of CCA and their distal branches. There can be isolated finding of retinal artery occlusion as happened in our case. Color flow imaging is the modality of choice for clinching the diagnosis.

Keywords: CCAO, sonography, color flow imaging, ICA, ECA, green