Article ID: 11290
A non-bifurcating cervical carotid artery (NBCCA) is an anomaly in which the common carotid artery does not branch at the neck and each branch of the external carotid artery branches directly from the common carotid artery. We report a case of carotid endarterectomy (CEA) performed for symptomatic carotid artery stenosis accompanied by NBCCA. A 42-year-old man presented with sudden right-sided paresis and dysarthria and was diagnosed with multiple left cerebral hemisphere infarctions. Further evaluation revealed carotid artery stenosis and an unstable plaque associated with the NBCCA, which led to the diagnosis of atherothrombotic cerebral infarction, and he underwent CEA. The patient experienced transient parotid gland pain referred to as first-bite syndrome, transient hoarseness, and dysphagia postoperatively. Careful preoperative evaluation and selection of a case-specific optimal treatment approach are important compared with the management strategy used for usual cases of carotid artery stenosis.
