Multiple Vascular Accidents Including Rupture of a Sinus of Valsalva Aneurysm, a Minor Ischemic Stroke and Intracranial Arterial Anomaly in a Patient with Systemic Congenital Abnormalities: A Case Report

• Main Authors: Masataka Nakajima, Arata Abe, Yasuhiro Nishiyama, Mina Harada-Abe, Akihito Kutsuna, Yuya Goto, Seiji Okubo, Masahiro Mishina, Ken-ichiro Katsura, Yasuo Katayama
• Format: Article
• Language: English
• Published: Karger Publishers 2013-11-01
• Series: Case Reports in Neurology
• Subjects: Ischemic stroke; Hypoplasty of internal carotid artery; Low-lying carotid bifurcation; Rupture of the sinus of Valsalva; Intellectual disability
• Online Access: http://www.karger.com/Article/FullText/356292
• ISSN: 1662-680X

A 39-year-old man with a history of rupture of a sinus of Valsalva aneurysm experienced an ischemic stroke. Although the patient presented left-sided hemiparesis for a week, no abnormal signals were indicated on diffusion-weighted imaging with repeated magnetic resonance scans. Carotid ultrasound and cerebral angiography were conducted, and they revealed hypoplasty of the left internal carotid artery with a low-lying carotid bifurcation at the level of the C6 vertebra. In addition, he was diagnosed with intellectual disabilities, evaluated by the Wechsler Adult Intelligence Scale-III, and congenital velopharyngeal insufficiency. We herein present the first report of a patient with cardio-cerebrovascular abnormalities, intellectual disabilities, and an otorhinolaryngological abnormality.