The primary function of the internal carotid artery is to deliver oxygen-rich blood to critical regions of the brain. It supplies the anterior and middle cerebral arteries, which in turn nourish significant portions of the cerebral cortex, responsible for various higher brain functions including cognition, sensation, and motor control. Proper blood flow through this artery is essential for maintaining brain health and function. Any obstruction or disruption in its blood supply could lead to ischemia, resulting in potentially devastating neurological deficits.
The internal carotid artery begins as a branch of the common carotid artery, which is located at the level of the fourth cervical vertebra (C4) in the neck. It ascends within the carotid sheath, running alongside the internal jugular vein and the vagus nerve. Upon reaching the base of the skull, it enters the cranial cavity through the carotid canal of the temporal bone. Inside the skull, the internal carotid artery bifurcates into its terminal branches (the anterior and middle cerebral arteries), supplying different regions of the brain with vital oxygenated blood.