{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T22:06:48Z","timestamp":1781647608733,"version":"3.54.5"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,8,1]]},"abstract":"<jats:p>We report a case of an 8-year-old girl with posterior fossa abnormalities, haemangioma, arterial lesions, cardiac abnormalities or coarctation of the aorta and eye abnormalities syndrome with right carotid aplasia and complete basilar occlusion. The patient initially presented at 2.5 weeks of age with a growing right facial haemangioma involving segments 1, 3 and 4. Initial MRI at 2.5 weeks of age revealed an extraconal right orbital haemangioma without posterior fossa abnormalities and MR angiography (MRA) 3\u2009weeks later showed right internal carotid aplasia. A follow-up MRA and cerebral angiography at 8 years of age revealed a complete occlusion of the basilar artery that was not appreciated on previous imaging. Neurological function remains normal, meeting all age-appropriate milestones.<\/jats:p>","DOI":"10.1136\/bcr-2017-221055","type":"journal-article","created":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T07:40:32Z","timestamp":1502869232000},"page":"bcr-2017-221055","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Concomitant carotid aplasia and basilar artery occlusion in a child with PHACES syndrome"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7857-1805","authenticated-orcid":false,"given":"Noel","family":"Delgado","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason J","family":"Carroll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip M","family":"Meyers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,8,16]]},"reference":[{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.jpeds.2016.07.054","article-title":"PHACE syndrome: consensus-derived diagnosis and care recommendations","volume":"178","author":"Garzon","year":"2016","journal-title":"J Pediatr"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.485185"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.3","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2206"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6569.2007.00092.x"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.5","doi-asserted-by":"publisher","DOI":"10.1007\/s002340050181"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.6","first-page":"2635","article-title":"Agenesis of bilateral internal carotid arteries and posterior fossa abnormality in a patient with facial capillary hemangioma: presumed incomplete phenotypic expression of PHACE syndrome","volume":"26","author":"Weon","year":"2005","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.7","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A0943"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.8","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.207.3.9609880"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.9","doi-asserted-by":"publisher","DOI":"10.1177\/159101991101700201"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-002-0902-z"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.11","first-page":"125","article-title":"Mesenchymal derivatives of the neural crest: analysis of chimaeric quail and chick embryos","volume":"34","author":"Le Li\u00e8vre","year":"1975","journal-title":"J Embryol Exp Morphol"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.12","doi-asserted-by":"crossref","unstructured":"Wiszniak SE , Schwarz QP . Neural crest cells in vascular development. Neural crest cells: evolution, development and disease. 1st edn, 2014:313\u201333.","DOI":"10.1016\/B978-0-12-401730-6.00016-8"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.13","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.112.650952"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.14","doi-asserted-by":"publisher","DOI":"10.1097\/RLI.0b013e3182981137"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.15","doi-asserted-by":"crossref","first-page":"70","DOI":"10.3171\/2015.5.PEDS1578","article-title":"Bilateral pial synangiosis in a child with PHACE syndrome","volume":"17","author":"Jack","year":"2016","journal-title":"J Neurosurg Pediatr"},{"key":"2025042712295976000_2017.aug13_1.bcr-2017-221055.16","doi-asserted-by":"crossref","first-page":"19271","DOI":"10.5070\/D3198019271","article-title":"PHACES syndrome with moyamoya vasculopathy-a case report","volume":"19","author":"Sathishkumar","year":"2013","journal-title":"Dermatol Online J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T19:30:08Z","timestamp":1745782208000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,16]]},"references-count":16,"alternative-id":["10.1136\/bcr-2017-221055"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221055","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,16]]}}}