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Congenital Hypoplasia of the Internal Carotid Artery (HICA): A Short Review

Simrat Suri, William Andrew Lee, Timothy Park, Steven Lev, Anantha K Ramanathan

Introduction: Hypoplasia of the Internal Carotid Artery is a rare developmental abnormality. Because of its rarity, the association, diagnosis and treatment are not uniformly described.

Discussion: We discuss the rarity, etiology, clinical presentation, associated conditions, diagnosis and treatment. We review the literature to provide a guide on the approach and management of this silent yet possibly ominous disease. Conclusion: Physicians need to be aware of this rare anomaly and all the various associated conditions, and should use a multi-disciplinary approach with careful long-term follow-up.

Keywords: Congenital hypoplasia of the internal carotid artery, Collateral circulation, Diagnosis & management