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Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 9/2020

01-09-2020 | Anatomic Variations

Bilateral persistent stapedial arteries associated with unilateral moyamoya disease: a particular anatomic variant

Authors: Alessio Chiappini, Gabriele Cicciò, Stanislas Smajda, Thomas Robert

Published in: Surgical and Radiologic Anatomy | Issue 9/2020

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Abstract

Purpose

The persistence of the stapedial artery is a rare vascular variant that could explain the origin of the middle meningeal artery from the petrous segment of the internal carotid artery.
The anatomic variations are illustrated and a summary of the possible hypothesis of the origin of the middle meningeal artery from the internal carotid artery is discussed, analysing the embryological works of the Carnegie Institute and the vascular development of the middle meningeal.

Methods and results

The authors present a young patient showing a particular vascular variant on diagnostic imaging. These showed a bilateral internal carotid artery that gives origin of the middle meningeal artery in a patient affected by moyamoya disease.
A literature review was performed to analyze the particular variant of the radiologic anatomy.

Conclusion

The internal carotid artery origin of the middle meningeal artery is a wonderful anatomic variant that permits to understand the complex embryological development and then involution of the stapedial artery.
Literature
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Bang OY, Fujimura M, Kim SK (2016) The pathophysiology of moyamoya disease: an update. J Stroke 18:12–20CrossRef
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Cheng J, Bilaniuk L, Elden L (2013) Unusual association of bilateral persistent stapedial arteries and microtia with bilateral ossicular anomalies resulting in conductive hearing loss. Otol Neurotol 34:12–13CrossRef
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Gartrell BC, Kennedy TA, Gubbels SP (2012) Bilateral duplicated internal carotid arteries presenting as middle ear masses: a case report and review of the literature. Ann Otol Rhinol Laryngol 121:521–524CrossRef
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Silbergleit R, Quint DJ, Mehta BA, Patel SC, Metes JJ, Noujaim SE (2000) The persistent stapedial artery. AJNR Am J Neuroradiol 21:572–577PubMed
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Yuen H-W, Thompson AL, Symons SP, Nedzelski JM (2008) Bilateral persistent stapedial artery. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol 29:1205–1206CrossRef
Metadata
Title
Bilateral persistent stapedial arteries associated with unilateral moyamoya disease: a particular anatomic variant
Authors
Alessio Chiappini
Gabriele Cicciò
Stanislas Smajda
Thomas Robert
Publication date
01-09-2020
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 9/2020
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-020-02519-2

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