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Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 5/2016

01-07-2016 | Anatomic Variations

Unusual persistent primitive trigeminal artery with a superior duplicated basilar system

Authors: Laila Malani Mohammad, Andrew Phillip Carlson

Published in: Surgical and Radiologic Anatomy | Issue 5/2016

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Abstract

A 67-year-old patient who presented with a right cerebellar hemorrhage underwent vascular workup for suspicion of underlying vascular anomalies. A diagnostic cerebral angiogram demonstrated a duplicated basilar system fed solely by a persistent primitive trigeminal artery. The findings proved to be incidental and unrelated to the patient’s hemorrhage. These developmental abnormalities are consistent with embryological development.
Literature
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Alcalá-Cerra G, Tubbs RS, Niño-Hernández LM (2012) Anatomical features and clinical relevance of a persistent trigeminal artery. Surg Neurol Int 3:111CrossRefPubMedPubMedCentral
2.
Bai M, Guo Q, Li S (2013) Persistent trigeminal artery/persistent trigeminal artery variant and coexisting variants of the head and neck vessels diagnosed using 3 T MRA. Clin Radiol 68:e578–e585CrossRefPubMed
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Luh GY, Dean BL, Tomsick TA, Wallace RC (1999) The persistent fetal carotid-vertebrobasilar anastomoses. AJR Am J Roentgenol 172:1427–1432CrossRefPubMed
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Morris PP (2007) Practical neuroangiography, 2nd edn. Lippincott Williams & Wilkins, Philadelphia, pp 115–124
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Uchino A, Saito N, Kurita H et al (2012) Persistent trigeminal artery arising from the arterial ring/fenestration of the cavernous segment of the internal carotid artery. Surg Radiol Anat 34:651–654CrossRefPubMed
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Uchino A, Saito N, Okada Y et al (2012) Persistent trigeminal artery and its variants on MR angiography. Surg Radiol Anat 34:271–276CrossRefPubMed
Metadata
Title
Unusual persistent primitive trigeminal artery with a superior duplicated basilar system
Authors
Laila Malani Mohammad
Andrew Phillip Carlson
Publication date
01-07-2016
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 5/2016
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-015-1559-8

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