Thrombectomy in posterior circulation stroke through persistent primitive trigeminal artery: A case report

Autor:	Acgm van Es, G. J. Lycklama à Nijeholt, W Dinkelaar, B F W van der Kallen, Tpw de Rooij, Bart J. Emmer, Mjhl Mulder
Přispěvatelé:	Neurology, Radiology & Nuclear Medicine, Radiology and Nuclear Medicine, Amsterdam Neuroscience - Neurovascular Disorders
Rok vydání:	2015
Předmět:	Carotid Artery Diseases Intracranial Arteriovenous Malformations Male medicine.medical_specialty Computed Tomography Angiography intra-arterial treatment medicine.artery Occlusion medicine Basilar artery Humans Cerebrovascular disease Stroke Computed tomography angiography Paresis Aged Thrombectomy Posterior Cerebral Artery medicine.diagnostic_test business.industry Glasgow Coma Scale medicine.disease Surgery Cerebral Angiography medicine.anatomical_structure Hemiparesis trigeminal artery Basilar Artery Trigeminal artery medicine.symptom business Carotid Artery Internal
Zdroj:	Interventional Neuroradiology, 21(6), 715-718. Centauro srl Interventional neuroradiology, 21(6), 715-718. Centauro srl
ISSN:	1591-0199 1123-9344
Popis:	We describe a case of intra-arterial treatment (IAT) of acute posterior circulation occlusion in a patient with a persistent primitive trigeminal artery (PPTA). The patient presented with an acute left sided hemiparesis and loss of consciousness (Glasgow coma score of 5). Computed tomography angiography showed an acute occlusion of the right internal carotid artery (ICA), the PPTA, distal basilar artery (BA), right posterior cerebral artery (PCA), and right superior cerebellar artery (SCA). Stent-retriever assisted thrombectomy was not considered possible through the hypoplastic proximal BA. After passage of the proximal ICA occlusion, the right PCA and SCA were recanalized through the PPTA, with a single thrombectomy procedure. Ten days after intervention patient was discharged scoring optimal EMV with only a mild facial and left hand paresis remaining. PPTA is a persistent embryological carotid–basilar connection. Knowledge of existing (embryonic) variants in neurovascular anatomy is essential when planning and performing acute neurointerventional procedures.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b5c67242389c4578a698cd0424dcf8fe https://pubmed.ncbi.nlm.nih.gov/26464287 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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