Case Report
Year 2019,
Volume: 36 Issue: 4, 121 - 123, 02.03.2020
Abstract
References
- References1. Aguilar GB, Conti ML, Veiga JC, Jory M, Souza RB. Basilar artery aneurysm at a persistent trigeminal artery junction. A case report and literature review. Interv Neuroradiol. 2011 Sep;17(3):343-6. Epub 2011 Oct 17.
- 2. Takigawa T, Suzuki K, Sugiura Y, Suzuki R, Takano I, Shimizu N, Tanaka Y, Hyodo A. Double-balloon Remodeling for Coil Embolization of a Primitive Trigeminal Artery Variant AneurysmA Case Report. Interventional Neuroradiology 20: 295-300, 2014 - doi: 10.15274/INR-2014-10053
- 3. Ikushima I, Arikawa S, Korogi Y, Uehara H, Komohara Y, Takahashi M. Basilar artery aneurysm treated with coil embolization via persistent primitive trigeminal artery. Cardiovasc Intervent Radiol. 2002 Jan-Feb;25(1):70-1. Epub 2001 Oct 17.
- 4. Padget DH. The development of the cranial arteries in the human embryo. Contrib Embryol. 1948; 32: 205-262
- 5. Hwang YU, Kim JW. Variant PTA Terminating in Cerebellar Artery, Associated with Multiple Aneurysms. Case Rep Radiol. 2016;2016:4594326. doi: 10.1155/2016/4594326. Epub 2016 Jun 30
- 6. Azab W, Delashaw J, Mohammed M. Persistent primitive trigeminal artery: a review. Turk Neurosurg. 2012;22(4):399-406. doi: 10.5137/1019-5149.JTN.4427-11.1.
- 7. Ali S, Radaideh MM, Shaibani A, et al. Persistent trigeminal artery terminating in the posterior inferior cerebellar artery: case report. Neurosurgery. 2008; 62:746-748.
- 8. Saltzman GF: Patent primitive trigeminal arteries studied by cerebral angiography. Acta Radiol 51:329-336,1959
- 9. Siqueira M, Piske R, Ono M, Marino R Jr: Cerebellar arteries originating from the internal carotid artery. AJNR Am J Neuroradiol 14:1229-1235, 1993
- 10. Cloft HJ, Razack N, Kallmes DF. Prevalence of cerebral aneurysms in patients with persistent primitive trigeminal artery. J Neurosurg. 1999; 90: 865-867.
- 11. Rom J Morphol Embryol. 2015;56(3):1159-63. Fusiform aneurysm of a persistent primitive trigeminal artery associated with cerebrovascular anatomic variations: a report of two cases. Pleş H1, Loukas M, Andall RG, Andall NR, Iacob N, Miclăuş GD, Matusz P, Tubbs RS.
- 12. Tubbs RS, Verma K, Riech S, Mortazavi MM, Shoja MM, Loukas M, Curé JK, Zurada A, Cohen-Gadol AA. Persistent fetal intracranial arteries: a comprehensive review of ana- tomical and clinical significance. J Neurosurg, 2011, 114(4): 1127–1134.
- 13. Kim B.M, Kim D.I, and Kwon T.H, “Persistent trigeminal artery with a cerebellar branch and trigeminal-cavernous fistula from ruptured aneurysm: transarterial coil embolization,” Neu-rointervention, vol. 5, no. 1, pp. 32–35, 2010.
- 14. Hanabusa K, Murao K, Morikawa A, Taki W, Waga S. Endovascular treatment for a ruptured persistent trigeminal artery variant aneurysm on the distal portion--case report. Neurol Med Chir (Tokyo). 2000 Dec;40(12):637-40.
Endovascular treatment of basilar artery aneurysm via the persistent trigeminal artery: A case report
Abstract
An 85-year-old woman presented to emergency department of our hospital with a sudden onset headache and temporary loss of consciousness. Brain CT scan revealed subarachnoid hemorrhage (SAH) located in the left ambient and quadrigeminal cisterns. Brain CT angiography revealed a narrowed-necked aneurysm measuring 3.5.x4.5x5 mm detected at the junction of the basilar artery (BA) and the left superior cerebellar artery (SCA). Both of the vertebral arteries were hypoplastic, and also proximal half of the BA was absent. Distal half of it was associated with a persistent trigeminal artery (PTA) located on the right side. The aneurysm of the basilar artery which could not be reached via the vertebral artery was embolized with detachable coils using primitive trigeminal artery. The cases with PTA are often discovered incidentally on imaging. Symptomatic cases often present with the signs of vertebrobasilar ischemia, cranial nerve palsy or rupture of the concomitant aneurysm. A BA aneurysm associated with PTA is very rare. Our case is also the second case treated endovascularly via the PTA.
References
- References1. Aguilar GB, Conti ML, Veiga JC, Jory M, Souza RB. Basilar artery aneurysm at a persistent trigeminal artery junction. A case report and literature review. Interv Neuroradiol. 2011 Sep;17(3):343-6. Epub 2011 Oct 17.
- 2. Takigawa T, Suzuki K, Sugiura Y, Suzuki R, Takano I, Shimizu N, Tanaka Y, Hyodo A. Double-balloon Remodeling for Coil Embolization of a Primitive Trigeminal Artery Variant AneurysmA Case Report. Interventional Neuroradiology 20: 295-300, 2014 - doi: 10.15274/INR-2014-10053
- 3. Ikushima I, Arikawa S, Korogi Y, Uehara H, Komohara Y, Takahashi M. Basilar artery aneurysm treated with coil embolization via persistent primitive trigeminal artery. Cardiovasc Intervent Radiol. 2002 Jan-Feb;25(1):70-1. Epub 2001 Oct 17.
- 4. Padget DH. The development of the cranial arteries in the human embryo. Contrib Embryol. 1948; 32: 205-262
- 5. Hwang YU, Kim JW. Variant PTA Terminating in Cerebellar Artery, Associated with Multiple Aneurysms. Case Rep Radiol. 2016;2016:4594326. doi: 10.1155/2016/4594326. Epub 2016 Jun 30
- 6. Azab W, Delashaw J, Mohammed M. Persistent primitive trigeminal artery: a review. Turk Neurosurg. 2012;22(4):399-406. doi: 10.5137/1019-5149.JTN.4427-11.1.
- 7. Ali S, Radaideh MM, Shaibani A, et al. Persistent trigeminal artery terminating in the posterior inferior cerebellar artery: case report. Neurosurgery. 2008; 62:746-748.
- 8. Saltzman GF: Patent primitive trigeminal arteries studied by cerebral angiography. Acta Radiol 51:329-336,1959
- 9. Siqueira M, Piske R, Ono M, Marino R Jr: Cerebellar arteries originating from the internal carotid artery. AJNR Am J Neuroradiol 14:1229-1235, 1993
- 10. Cloft HJ, Razack N, Kallmes DF. Prevalence of cerebral aneurysms in patients with persistent primitive trigeminal artery. J Neurosurg. 1999; 90: 865-867.
- 11. Rom J Morphol Embryol. 2015;56(3):1159-63. Fusiform aneurysm of a persistent primitive trigeminal artery associated with cerebrovascular anatomic variations: a report of two cases. Pleş H1, Loukas M, Andall RG, Andall NR, Iacob N, Miclăuş GD, Matusz P, Tubbs RS.
- 12. Tubbs RS, Verma K, Riech S, Mortazavi MM, Shoja MM, Loukas M, Curé JK, Zurada A, Cohen-Gadol AA. Persistent fetal intracranial arteries: a comprehensive review of ana- tomical and clinical significance. J Neurosurg, 2011, 114(4): 1127–1134.
- 13. Kim B.M, Kim D.I, and Kwon T.H, “Persistent trigeminal artery with a cerebellar branch and trigeminal-cavernous fistula from ruptured aneurysm: transarterial coil embolization,” Neu-rointervention, vol. 5, no. 1, pp. 32–35, 2010.
- 14. Hanabusa K, Murao K, Morikawa A, Taki W, Waga S. Endovascular treatment for a ruptured persistent trigeminal artery variant aneurysm on the distal portion--case report. Neurol Med Chir (Tokyo). 2000 Dec;40(12):637-40.
There are 14 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 2, 2020 |
| Submission Date | October 12, 2019 |
| Acceptance Date | January 1, 2020 |
| Published in Issue | Year 2019 Volume: 36 Issue: 4 |
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