Описан случай редкой врожденной аномалии развития - гипоплазии общей сонной артерии и аплазии внутренней сонной артерии в сочетании с аневризмой передней соединительной артерии у 58-летней женщины. Дана краткая характеристика этой патологии и определена роль современных методов лучевой визуализации в диагностике подобных состояний. Отдельно изложены результаты проведенного обследования сосудистой аномалии, на основании которого определен компенсаторный тип интракраниального коллатерального кровотока. Данное наблюдение представляет определенный интерес ввиду редкой распространенности и существующих трудностей в выборе тактики лечения.
In the present article, we discuss the problem of cerebrovascular diseases as one of the most important in social terms. The mechanisms of occurrence and epidemiological parameters characterizing the problem as a whole are presented. The article summarizes the main beam techniques such as angiography, magnetic resonance imaging, ultrasound duplex scanning and X-ray computed tomography with bolus intravenous contrast infusion to allow a timely recognition of the disease. The strengths and weaknesses of different diagnostic tools are considered. The role of CT angiography as a primary diagnostic method is defined. CT angiography offers the advantage of getting comprehensive information about existing circulatory disorders. The case of rare congenital anomaly - hypoplasia of the common carotid artery and internal carotid artery aplasia in conjunction with an aneurysm of the anterior communicating artery, - is described in 58-year-old woman. The characteristics of this disease are discussed. We also present the results of a survey on such vascular anomalies, which is defined on the basis of the type of compensatory intracranial collateral flow. This observation is of particular interest due to the rare occurrence and the existing difficulties in the choice of treatment.
The authors declare that there are no conflicts of interest present.