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Living with Internal carotid agenesis

A condition in which one or both main arteries to the brain do not form, often with no symptoms.

Understanding Internal carotid agenesis

Internal carotid agenesis is a condition in which one or both internal carotid arteries, major blood vessels that supply the brain, never develop.

The missing artery can be on either side. Many people have no symptoms because the body builds other blood vessel paths to the head. Some people have headaches, blurred vision, nerve palsy, seizures, or weakness on one side. There is a higher chance of enlarged blood vessels (aneurysms) in the brain.

Signs & symptoms

Symptoms vary, and many people have none. GARD lists these:

  • Headaches
  • Blurred vision
  • Seizures (epilepsy)
  • Weakness on one side of the body (hemiparesis)
  • Weakness of nerves in the head (palsy)
  • Widened brain arteries (aneurysm)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Brain Aneurysm Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Do I need regular imaging to check for aneurysms?
Which symptoms should I get checked right away?
Should my relatives be checked?

Quick facts

Symptoms usually startany time in life

GARD's summary doesn't describe a cause for this condition. It occurs when the artery does not develop.

Neurological

Also known as: agenesis of internal carotid artery; internal carotid absence; internal carotid artery agenesis

Patient organizations

Source: NIH GARD · Internal carotid agenesisGARD ID 3012 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Internal carotid agenesis.

Explore the Internal carotid agenesis blog

Explore research for Internal carotid agenesis

Explore actively recruiting Internal carotid agenesis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Internal carotid agenesis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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