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Clinical Neuroradiology
Published in: Clinical Neuroradiology 2/2015

01-06-2015 | Correspondence

A Case of Giant Thrombosed Persistent Primitive Trigeminal Artery Aneurysm Presenting with Trigeminal Neuralgia and Successfully Treated by a Covered Stent: Case Report and Review of Literature

Authors: W.-H. Chen, MD, T.-H. Tsai, MD, S.-C. Shen, MD, C.-C. Shen, MD, Y.-S. Tsuei

Published in: Clinical Neuroradiology | Issue 2/2015

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Excerpt

The persistent primitive trigeminal artery (PPTA) is rare with an incidence ranging from 0.1 to 0.6 % and accounts for approximately 80–85 % of persistent carotid-basilar anastomosis [1]. Studies cited in the literature indicate that aneurysms may be associated with nearly 14 % of all PPTA cases, and may occur in a PPTA itself in 2 % of cases [2]. In addition, the prevalence of a PPTA in patients presenting with trigeminal neuralgia was reported as 2.2 % [3]. Our patient had both rare conditions, aneurysm formation at origin of PPTA and clinical presentation with trigeminal neuralgia. To our knowledge, this is the first paper to illustrate successful treatment of a PPTA aneurysm by endovascular obliteration with a covered stent. …
Literature
1. Meckel S, Spittau B, McAuliffe W. The persistent trigeminal artery: development, imaging anatomy, variants, and associated vascular pathologies. Neuroradiology. 2013;55(1):5–16.PubMedCrossRef
2. 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(1):33–46.PubMedCrossRef
3. de Bondt BJ, Stokroos R, Casselman J. Persistent trigeminal artery associated with trigeminal neuralgia: hypothesis of neurovascular compression. Neuroradiology. 2007;49(1):23–26.PubMedCrossRef
4. Ohshiro S, Inoue T, Hamada Y, Matsuno H. Branches of the persistent primitive trigeminal artery—an autopsy case. Neurosurgery. 1993;32(1):144–8.PubMedCrossRef
5. Kono K, Matsuda Y, Terada T. Resolution of trigeminal neuralgia following minimal coil embolization of a primitive trigeminal artery associated with a cerebellar arteriovenous malformation. Acta Neurochir (Wien). 2013;155(9):1699–701.CrossRef
6. Guglielmi G, Viñuela F, Dion J, Duckwiler G, Cantore G, Delfini R. Persistent primitive trigeminal artery-cavernous sinus fistulas: report of two cases. Neurosurgery. 1990;27(5):805–8.PubMedCrossRef
7. Kwon JY, Lee EJ, Kim JS. Brainstem infarction secondary to persistent trigeminal artery occlusion: successful treatment with intravenous rt-PA. Eur Neurol. 2010;64(5):311.PubMedCrossRef
8. Kai Y, Ohmori Y, Watanabe M, Morioka M, Hirano T, Kawano T, Sakurama T, Miura A, Kuratsu J. Coil embolization of an aneurysm located at the trunk of the persistent primitive trigeminal artery. Neurol Med Chir (Tokyo). 2011;51(5):361–4.CrossRef
9. Morrison G, Hegarty WM, Brausch CC, Castele TJ, White RJ. Direct surgical obliteration of a persistent trigeminal artery aneurysm. Case report. J Neurosurg. 1974;40(2):249–51.PubMedCrossRef
10. O’uchi E, O’uchi T. Persistent primitive trigeminal arteries (PTA) and its variant (PTAV): analysis of 103 cases detected in 16,415 cases of MRA over 3 years. Neuroradiology. 2010;52:1111–9.PubMedCrossRef
Metadata
Title
A Case of Giant Thrombosed Persistent Primitive Trigeminal Artery Aneurysm Presenting with Trigeminal Neuralgia and Successfully Treated by a Covered Stent: Case Report and Review of Literature
Authors
W.-H. Chen, MD
T.-H. Tsai, MD
S.-C. Shen, MD
C.-C. Shen, MD
Y.-S. Tsuei
Publication date
01-06-2015
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 2/2015
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-014-0314-6

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