Top

Published in:

01-03-2015 | Anatomic Variations

Persistent hypoglossal artery aneurysm located in the hypoglossal canal with associated subarachnoid hemorrhage

Authors: David Kimball, Horia Ples, Gratian D. Miclaus, Petru Matusz, Marios Loukas

Published in: Surgical and Radiologic Anatomy | Issue 2/2015

Abstract

The hypoglossal artery is one of four primitive anastomoses between the internal carotid artery and vertebrobasilar system that regresses in the sixth week of fetal development. A persistent hypoglossal artery (PHA) is generally an incidental finding but may also be associated with aneurysms or arteriovenous malformations. We present a rare case of a PHA with an associated bleeding intracranial PHA aneurysm located in the hypoglossal canal.

De Caro R, Parenti A, Munari PF (1995) The persistent primitive hypoglossal artery: a rare anatomic variation with frequent clinical implications. Ann Anat 177:193–198CrossRefPubMed

Teo M, Bhattacharya J, Suttner N (2012) Persistent hypoglossal artery—an increased risk for intracranial aneurysms? Br J Neurosurg 26:891–892CrossRefPubMed

Vlychou M, Georganas M, Spanomichos G, Kanavaros P, Artinopoulos C, Zavras GM (2003) Angiographic findings and clinical implications of persistent primitive hypoglossal artery. BMC Med Imaging 23(3):2CrossRef

De Blasi R, Medicamento N, Chiumarullo L, Salvati A, Maghenzani M, Dicuonzo F, Carella A (2009) A case of aneurysm on a persistent hypoglossal artery treated by endovascular coiling. Interv Neuroradiol 15:175–178PubMedCentralPubMed

Guerri-Guttenberg RA (2009) Fetal carotid-vertebrobasilar anastomoses: persistent hypoglossal artery associated with further variations of the circle of Willis. Surg Radiol Anat 31:311–315CrossRefPubMed

Lasjaunias PL, Berenstein A, Ter Brugge KG (2001) Surgical neuroangiography, vol 1. Springer, New York

Takahashi H, Tanaka H, Fujita N, Tomiyama N (2012) Bilateral persistent hypoglossal arteries: MRI findings. Br J Radiol 85:e46–e48CrossRefPubMed

Yilmaz E, Ilgit E, Taner D (1995) Primitive persistent carotid-basilar and carotid-vertebral anastomoses: a report of seven cases and a review of the literature. Clin Anat 8:36–43CrossRefPubMed

He S, Russin JJ, Adamczyk P, Giannotta SL, Amar AP, Mack WJ (2013) A persistent primitive hypoglossal artery arising from the external carotid artery associated with subarachnoid hemorrhage. World Neurosurg. doi:10.1016/j.wneu.2013.06.015

10.

Lee EJ, Chang HW, Cho CH, Kim E, Lee SK, Kwon JH (2010) Rare variant of persistent primitive hypoglossal artery in magnetic resonance angiography. Surg Radiol Anat 32:801–804CrossRefPubMed

11.

Uchino A, Saito N (2011) Persistent hypoglossal artery arising from the external carotid artery diagnosed by MR angiography. Surg Radiol Anat 33:543–545CrossRefPubMed

12.

Pasco A, Papon X, Bracard S, Tanguy JY, Ter Minassian A, Mercier P (2004) Persistent carotid-vertebrobasilar anastomoses: how and why differentiating them? J Neuroradiol 31:391–396CrossRefPubMed

13.

Agnoli AL (1982) Vascular anomalies and subarachnoid haemorrhage associated with persisting embryonic vessels. Acta Neurochir (Wien) 60:183–199CrossRef

14.

Tokimura H, Ishigami T, Yamahata H et al (2012) Clinical presentation and treatment of distal anterior inferior cerebellar artery aneurysms. Neurosurg Rev 35:497–504CrossRefPubMed

15.

Huynh-Le P, Matsushima T, Muratani H, Hikita T, Hirokawa E (2004) Persistent primitive hypoglossal artery associated with proximal posterior inferior cerebellar artery aneurysm. Surg Neurol 62:546–551CrossRefPubMed

16.

Al-Memar A, Thrush D (1998) Unilateral hypoglossal nerve palsy due to aneurysm of the stump of persistent hypoglossal artery. J Neurol Neurosurg Psychiatr 64:405CrossRefPubMedCentralPubMed

Title: Persistent hypoglossal artery aneurysm located in the hypoglossal canal with associated subarachnoid hemorrhage
Authors: David Kimball
Horia Ples
Gratian D. Miclaus
Petru Matusz
Marios Loukas
Publication date: 01-03-2015
Publisher: Springer Paris
Published in: Surgical and Radiologic Anatomy / Issue 2/2015
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-014-1285-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Persistent hypoglossal artery aneurysm located in the hypoglossal canal with associated subarachnoid hemorrhage

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2015

Identification of parathyroid glands: anatomical study and surgical implications

Tomographic evaluation on bone morphology in posterior mandibular region for safe placement of dental implant

Development of the sensorimotor cortex in the human fetus: a morphological description

Cone beam computed tomographic analysis of neurovascular anatomical variations other than the nasopalatine canal in the anterior maxilla in a pediatric population

Jason P. Sheehan and Peter C. Gerszten: Controversies in stereotactic radiosurgery. Best evidence recommendations

Music and the nucleus accumbens