Persistent primitive trigeminal artery associated with a cavernous carotid aneurysm. Case report and literature review.

Autor: Lam JJH; Department of Diagnostic Radiology, Singapore General Hospital, Singapore., Shah MTBM; Department of Radiology, Sengkang General Hospital, Singapore.; Duke-NUS (National University of Singapore) Graduate Medical School, Singapore., Chung SL; Department of Radiology, Sengkang General Hospital, Singapore., Ho CL; Department of Radiology, Sengkang General Hospital, Singapore.; Duke-NUS (National University of Singapore) Graduate Medical School, Singapore.; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Jazyk: angličtina
Zdroj: Journal of radiology case reports [J Radiol Case Rep] 2018 Nov 30; Vol. 12 (11), pp. 1-11. Date of Electronic Publication: 2018 Nov 30 (Print Publication: 2018).
DOI: 10.3941/jrcr.v12i11.3500
Abstrakt: The persistent primitive trigeminal artery is the most common persistent carotid-vertebrobasilar anastomosis. Patients are usually asymptomatic and the persistent primitive trigeminal artery is commonly found incidentally on imaging. Rarely, they may present with symptoms of neurovascular conflict or cranial nerve compression syndromes as the artery may be intimately related to the cranial nerves. The basilar artery is often hypoplastic in this condition and blood supply to the posterior circulation is predominantly via the persistent primitive trigeminal artery. Recognizing the persistent primitive trigeminal artery is imperative as disease of the artery may result in ischemia of the posterior circulation. To date, there is no clear association between this artery and cerebral aneurysms. We present a rare case of a patient with a persistent primitive trigeminal artery and a concomitant cavernous carotid aneurysm together with a literature review.
Databáze: MEDLINE