A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm
| Autor: | Ming Wang, Yong-qing Zhou, Renya Zhan, Shu Wan, Jun Gu, Xiu-Jue Zheng, Ping Lan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Subarachnoid hemorrhage
Arteriogram Hemodynamics Case Report Anastomosis intraoperative neurophysiologic monitoring lcsh:RC346-429 030218 nuclear medicine & medical imaging 03 medical and health sciences Intracranial vascular persistent primitive hypoglossal artery 0302 clinical medicine Aneurysm medicine clip cardiovascular diseases Bifurcation lcsh:Neurology. Diseases of the nervous system business.industry Anatomy basilar bifurcation medicine.disease medicine.anatomical_structure Neurology cardiovascular system aneurysm Neurology (clinical) sense organs business 030217 neurology & neurosurgery Artery Neuroscience |
| Zdroj: | Frontiers in Neurology, Vol 8 (2017) Frontiers in Neurology |
| ISSN: | 1664-2295 |
| DOI: | 10.3389/fneur.2017.00168/full |
| Popis: | The persistent primitive hypoglossal artery (PPHA) is the second most common persistent carotid-vertebrobasilar anastomosis, with an incidence of 0.027-0.26%. PPHAs change the hemodynamics of the carotid and vertebrobasilar system and may be associated with intracranial vascular anomalies, but basilar bifurcation aneurysms were rarely reported. We describe the first case of a PPHA as the sole supply to the brain associated with a basilar bifurcation aneurysm and review the literature. We reported a 34-year-old woman who presented with subarachnoid hemorrhage due to a ruptured basilar bifurcation aneurysm. Digital subtraction arteriogram revealed a right PPHA as the sole supply to the brain. The aneurysm was successfully clipped under intraoperative neurophysiology. |
| Databáze: | OpenAIRE |
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