1
|
Deniz MA, Turmak M, Hattapoğlu S, Tekinhatun M. Persistent trigeminal artery detected on computed tomography angiography. Surg Radiol Anat 2022; 44:715-720. [DOI: 10.1007/s00276-022-02960-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 05/02/2022] [Indexed: 10/18/2022]
|
2
|
Zenteno M, Rafael MSL, Lee Á. Persistent Primitive Trigeminal Artery Associated With Anterior Communicating Artery Aneurysm and Hypoplastic Vertebral Artery. Asian J Neurosurg 2018; 13:861-863. [PMID: 30283567 PMCID: PMC6159020 DOI: 10.4103/1793-5482.238078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The persistent trigeminal artery is one of the presegmental arteries in the embryonic period; in some rare cases, it is associated with cerebral aneurysm but as a cause of subarachnoid hemorrhage (SAH) has not been described in the literature. We report a patient who presented a Fisher IV SAH associated with a ruptured intracranial aneurysm. The performed cerebral angiography demonstrated the presence of aneurysm in the anterior communicating artery associated to hypoplastic vertebral artery on the same side. We considered those finding coincidental. The coexistence of saccular aneurysm with anatomical variations in the intracranial vasculature is briefly discussed. It was managed by endovascular embolization. The patient returned to normal activities.
Collapse
Affiliation(s)
- Marco Zenteno
- RED LATINO, Latin American Trauma and Intensive Neuro-Care Organization, Bogota, Colombia
| | - Moscote-Salazar Luis Rafael
- Department of Neurological Endovascular Therapy, The National Institute of Neurology and Neurosurgery, Manuel Velasco Suárez, Mexico City, Mexico
| | - Ángel Lee
- Teaching Department, Hospital San Angel Inn University, Mexico City, Mexico
| |
Collapse
|
3
|
Brainstem stroke preceded by transient isolated vertigo attacks. J Neurol 2017; 264:2170-2172. [PMID: 28894926 PMCID: PMC5617861 DOI: 10.1007/s00415-017-8610-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 09/01/2017] [Indexed: 11/03/2022]
|
4
|
Alonso-Vanegas MA, Quintero-López E, Moreira-Holguín JC, Martínez-Albarrán AA, Corona-Cedillo R, Gómez-Amador JL. Communicating Segment Aneurysm of Internal Carotid Artery Associated with Saltzman's Type III Persistent Trigeminal Artery: A Case Report. Ann Vasc Surg 2016; 38:316.e7-316.e12. [PMID: 27522982 DOI: 10.1016/j.avsg.2016.05.095] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 05/05/2016] [Accepted: 05/06/2016] [Indexed: 11/19/2022]
Abstract
Persistent trigeminal artery (PTA), also called primitive trigeminal artery, represents the most common embryonic remnant of fetal circulation in adulthood, (only after fetal pattern of posterior communicating artery [PComA]) with an estimated incidence of between 0.1% and 0.76%. The permanence of this fetal pattern constitutes an incidental finding in most cases, however, may be associated with aneurysms, arteriovenous malformations, trigeminal neuralgia, and other types of fetal circulation persistency. A patient with giant aneurysm in the communicating segment of the right internal carotid artery, associated with the presence of PTA and fetal pattern of PComA, also on the right side is reported.
Collapse
Affiliation(s)
- Mario A Alonso-Vanegas
- Epilepsy Priority Program, Department of Neurosurgery, National Institute of Neurology and Neurosurgery "Manuel Velasco Suárez", Mexico City, Mexico; Hospital HMG Coyoacán, Mexico City, Mexico; Hospital ABC, Mexico City, Mexico
| | | | - Juan C Moreira-Holguín
- National Institute of Neurology and Neurosurgery "Manuel Velasco Suárez", Mexico City, Mexico
| | - Adrián Axallacan Martínez-Albarrán
- National Institute of Neurology and Neurosurgery "Manuel Velasco Suárez", Mexico City, Mexico; Epilepsy Priority Program, National Autonomous University of Mexico, Mexico City, Mexico.
| | | | - Juan L Gómez-Amador
- Department of Neurosurgery, National Institute of Neurology and Neurosurgery "Manuel Velasco Suárez", Mexico City, Mexico
| |
Collapse
|
5
|
Hiramatsu R, Ohnishi H, Kawabata S, Miyachi S, Kuroiwa T. Successful recanalization for internal carotid artery occlusion with persistent primitive trigeminal artery manifesting only as ischemia of the posterior circulation. BMC Neurol 2016; 16:41. [PMID: 27000093 PMCID: PMC4802635 DOI: 10.1186/s12883-016-0559-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 03/10/2016] [Indexed: 11/27/2022] Open
Abstract
Background Internal carotid artery (ICA) occlusion mainly manifests as ischemia of the anterior circulation. There are very few reports of ICA occlusion manifesting as only ischemia of the posterior circulation related to a fetal type posterior communicating artery or other arteries. Case presentation The authors experienced a case of ICA occlusion with persistent primitive trigeminal artery (PPTA) manifesting only as ischemia of the posterior circulation. In this case, the initial NIHSS score was high (35/42 points). Additionally, cross flow of the anterior communicating artery, ICA occlusion and basilar artery (BA) occlusion were represented on the initial head MRA. Therefore, our first impression was a presumptive diagnosis of BA occlusion. Prior head MRI/MRA performed for screening purposes, had incidentally demonstrated a right PPTA. Based on this understanding, we were able to determine the exact angioarchitectural mechanism of the ICA occlusion. Because of the presence of the PPTA, successful recanalization was accomplished expeditiously. Conclusion Although the presence of PPTA is rare and ICA occlusion patients with PPTA is even more unusual, if ICA occlusion and BA occlusion appear simultaneously on MRA, the presence of PPTA should be considered.
Collapse
Affiliation(s)
- Ryo Hiramatsu
- Department of Neurosurgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan.
| | - Hiroyuki Ohnishi
- Department of Neurosurgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan
| | - Shinji Kawabata
- Department of Neurosurgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan
| | - Shigeru Miyachi
- Department of Neurosurgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan
| | - Toshihiko Kuroiwa
- Department of Neurosurgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan
| |
Collapse
|
6
|
Bai M, Guo Q, Li S. Persistent trigeminal artery/persistent trigeminal artery variant and coexisting variants of the head and neck vessels diagnosed using 3 T MRA. Clin Radiol 2013; 68:e578-85. [DOI: 10.1016/j.crad.2013.05.099] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2013] [Revised: 05/09/2013] [Accepted: 05/29/2013] [Indexed: 10/26/2022]
|
7
|
Alcalá-Cerra G, Tubbs RS, Niño-Hernández LM. Anatomical features and clinical relevance of a persistent trigeminal artery. Surg Neurol Int 2012; 3:111. [PMID: 23087827 PMCID: PMC3475875 DOI: 10.4103/2152-7806.101798] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2012] [Accepted: 08/15/2012] [Indexed: 11/29/2022] Open
Abstract
Background: Although persistent trigeminal artery (PTA) is uncommonly identified, knowledge of this structure is essential for clinicians who interpret cranial imaging, perform invasive studies of the cerebral vasculature, and operate this region. Methods: A review of the medical literature using standard search engines was performed to locate articles regarding the PTA, with special attention with anatomical descriptions. Results: Although anatomical reports of PTA anatomy are very scarce, those were analyzed to describe in detail the current knowledge about its anatomical relationships and variants. Additionally, the embryology, classification, clinical implications, and imaging modalities of this vessel are extensively discussed. Conclusions: Through a comprehensive review of isolated reports of the PTA, the clinician can better understand and treat patients with such an anatomical derailment.
Collapse
Affiliation(s)
- Gabriel Alcalá-Cerra
- Department of Neurosurgery, Hospital Universitario del Caribe, Universidad de Cartagena. Cartagena de Indias, Colombia
| | | | | |
Collapse
|
8
|
Vasović L, Jovanović I, Ugrenović S, Vlajković S, Jovanović P, Stojanović V. Trigeminal artery: a review of normal and pathological features. Childs Nerv Syst 2012; 28:33-46. [PMID: 22071960 DOI: 10.1007/s00381-011-1622-7] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2011] [Accepted: 10/18/2011] [Indexed: 12/28/2022]
Abstract
OBJECTS Carotid-vertebrobasilar anastomoses-the trigeminal, otic, hypoglossal, and proatlantal intersegmental arteries-serve as transitory channels between primitive internal carotid arteries and bilateral longitudinal neural arterial plexus, which is the precursor of future basilar artery, when the human embryo reaches about 4-mm length. MATERIAL AND METHODS Normal and/or abnormal morphofunctional aspects of the prenatal and postnatal forms of the trigeminal artery are described according to personal and literature data. Many arteries of similar origin and course are also noted in the differential diagnosis of the trigeminal artery. CONCLUSIONS The persistent primitive trigeminal artery, as the most commonly carotid-vertebrobasilar anastomosis, has a reported incidence of 0.03-2.2% in the literature. There is female sex predilection, and it may be discovered in patients of any age, on either side, and in association with many vascular variants. Although the significance of persistent primitive trigeminal artery regarding the development of an aneurysm or association with another pathological condition may not be clear, its (ab)normal morphology is the inspiration for anatomists, especially for neurosurgeons, before planning diagnostic and therapeutic procedures.
Collapse
Affiliation(s)
- Ljiljana Vasović
- Department of Anatomy, Faculty of Medicine, University of Niš, Blvd. Dr Zoran Đinđić 81, 18000 Niš, Serbia.
| | | | | | | | | | | |
Collapse
|
9
|
Aguiar GB, Conti MLM, Veiga JCE, Jory M, Souza RB. Basilar artery aneurysm at a persistent trigeminal artery junction. A case report and literature review. Interv Neuroradiol 2011; 17:343-6. [PMID: 22005697 DOI: 10.1177/159101991101700310] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2011] [Accepted: 05/14/2011] [Indexed: 11/16/2022] Open
Abstract
The trigeminal artery is an anastomosis between the embryonic precursors of the vertebrobasilar and carotid systems, and may persist into adult life. The association of the persistent primitive trigeminal artery (PTA) with cerebral aneurysm is well documented in the literature and, in general, aneurysms are located in the anterior circulation. We describe a patient who presented with a panencephalic Fisher III subarachnoid hemorrhage due to rupture of an intracranial aneurysm. Digital arteriography showed a saccular aneurysm in the middle third of the basilar artery, adjacent to the junction with a persistent trigeminal artery. She was submitted to endovascular treatment with embolization of the basilar artery aneurysm with coils. Aneurysms at the PTA junction with the basilar artery are rare. This paper describes a case of PTA associated with an aneurysm in the basilar artery at PTA junction and briefly reviews the literature.
Collapse
Affiliation(s)
- G B Aguiar
- Department of Surgery, Santa Casa Medical School, São Paulo, Brazil.
| | | | | | | | | |
Collapse
|
10
|
Pereira LP, Nepomuceno LA, Coimbra PP, Oliveira Neto SRD, Natal MRC. Persistent trigeminal artery: angio-tomography and angio-magnetic resonance finding. ARQUIVOS DE NEURO-PSIQUIATRIA 2009; 67:882-5. [DOI: 10.1590/s0004-282x2009000500019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2009] [Accepted: 07/22/2009] [Indexed: 11/22/2022]
Abstract
The trigeminal artery (TA) is the most common embryonic carotid-vertebrobasilar anastomosis to persist into adulthood. It typically extends from the internal carotid artery to the basilar artery. Persistent primitive arteries are usually found incidentally, but are often associated with vascular malformation, cerebral aneurysm and, in case of TA, with trigeminal neuralgia. We present one patient with TA as a cause of trigeminal neuralgia and in other three as an incidental finding, on TC and MR angiograms.
Collapse
|
11
|
Typical and atypical neurovascular relations of the trigeminal nerve in the cerebellopontine angle: an anatomical study. Surg Radiol Anat 2009; 31:507-16. [DOI: 10.1007/s00276-009-0472-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2008] [Accepted: 01/19/2009] [Indexed: 10/21/2022]
|