Persistent Hypoglossal Artery Associated with a Ruptured Ipsilateral Posterior Inferior Cerebellar Artery Aneurysm

2007 ◽  
Vol 20 (5) ◽  
pp. 570-573 ◽  
Author(s):  
E. Uysal ◽  
M. Velioglu ◽  
E. Kara ◽  
S. Albayram ◽  
C. Islak ◽  
...  
Keyword(s):  
Rare Case ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Ruptured Aneurysm ◽  
Persistent Hypoglossal Artery ◽  
Hypoglossal Artery ◽  
Endovascular Occlusion ◽  
Cerebellar Artery

A rare case of persistent hypoglossal artery in conjuction with a ruptured aneurysm at the left proximal posterior inferior cerebellar artery (PICA) is presented. A ruptured PICA aneurysm was successfully treated by endovascular occlusion of the aneurym with coiling.

scholarly journals Persistent hypoglossal artery aneurysm: Case report and qualitative systematic review

2018 ◽  
Vol 25 (2) ◽  
pp. 164-171
Author(s):  
George H Tse ◽  
Andrew Martin ◽  
Richard A Dyde ◽  
Stuart C Coley
Keyword(s):  
Systematic Review ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Endovascular Coiling ◽  
Persistent Hypoglossal Artery ◽  
Randomised Study ◽  
Hypoglossal Artery ◽  
Qualitative Systematic Review ◽  
Cerebellar Artery ◽  
Patient Reported

A persistent hypoglossal artery was first described in 1889 and is one of the more common anatomical variations arising from aberration in normal development. Endovascular coiling has been recognised as a robust treatment for acutely ruptured intracranial arterial aneurysms, although specific data regarding an aneurysm arising from a persistent hypoglossal artery is lacking due to the low incidence. Here we report both the oldest patient reported to be treated with a persistent hypoglossal artery-associated aneurysm and also explicitly report endovascular treatment of a persistent hypoglossal artery aneurysm arising at the posterior inferior cerebellar artery origin. Qualitative systematic review of the available medical literature demonstrates limited evidence regarding treatment of persistent hypoglossal artery-associated aneurysms with the majority being carried out via open surgery. Ruptured posterior inferior cerebellar artery aneurysm arising from a persistent hypoglossal artery can be successfully and safely treated by endovascular therapy via the persistent hypoglossal artery. Randomised study of this situation is unlikely to be feasible; however, qualitative review of the literature reveals six such aneurysms that have been treated surgically, and this case appears to be the first via an endovascular means.

scholarly journals Successful Endovascular Occlusion of a Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm of the Caudal Trunk: Case Report

2007 ◽  
Vol 13 (3) ◽  
pp. 271-276 ◽  
Author(s):  
H.-S. Kang ◽  
H.G. Roh ◽  
M.H. Han ◽  
Y.-C. Koh
Keyword(s):  
Rare Case ◽  
Artery Aneurysm ◽  
Dissecting Aneurysm ◽  
Severe Headache ◽  
Anterior Inferior Cerebellar Artery ◽  
Parent Artery ◽  
Effective Treatment Option ◽  
Conventional Angiography ◽  
Endovascular Occlusion ◽  
Cerebellar Artery

We report a rare case of a ruptured distal anterior inferior cerebellar artery (possibly dissecting) aneurysm of the caudal trunk, successfully treated by endovascular occlusion. A 41-year-old man presented with sudden severe headache and drowsiness. On the day of ictus, conventional angiography was performed to make the above diagnosis, followed by endovascular occlusion of the sac and the parent artery. The patient recovered completely without any neurologic deficit after treatment. Endovascular occlusion could be a safe and effective treatment option in a case of a ruptured distal AICA aneurysm of the caudal trunk.

Persistent hypoglossal artery associated with superior cerebellar artery aneurysm

1974 ◽  
Vol 40 (3) ◽  
pp. 397-399 ◽  
Author(s):  
Thomas D. Springer ◽  
Gerald Fishbone ◽  
Robert Shapiro
Keyword(s):  
Artery Aneurysm ◽  
Superior Cerebellar Artery ◽  
Content Type ◽  
Persistent Hypoglossal Artery ◽  
Hypoglossal Artery ◽  
Selective Catheterization ◽  
Cerebellar Artery ◽  
Fine Print

✓ An aneurysm at the origin of the superior cerebellar artery in a patient with a primitive hypoglossal artery is reported. Selective catheterization of the primitive artery is described with a brief discussion of the embryogenesis of carotid-basilar anastomoses. Associated findings in previously reported cases of persistent hypoglossal artery are briefly reviewed.

Persistent primitive hypoglossal artery associated with proximal posterior inferior cerebellar artery aneurysm

2004 ◽  
Vol 62 (6) ◽  
pp. 546-551 ◽  
Author(s):  
Phuong Huynh-Le ◽  
Toshio Matsushima ◽  
Hiroshi Muratani ◽  
Takashi Hikita ◽  
Eiko Hirokawa
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Hypoglossal Artery ◽  
Cerebellar Artery ◽  
Persistent Primitive Hypoglossal Artery

scholarly journals Posterior Inferior Cerebellar Artery Aneurysm Associated With Persistent Primitive Hypoglossal Artery

2008 ◽  
Vol 48 (6) ◽  
pp. 259-261 ◽  
Author(s):  
Masahito KOBAYASHI ◽  
Kazunori AKAJI ◽  
Yoshio TANIZAKI ◽  
Ban MIHARA ◽  
Takayuki OHIRA ◽  
...  
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Hypoglossal Artery ◽  
Cerebellar Artery ◽  
Persistent Primitive Hypoglossal Artery

Republished: Basilar stroke from a persistent hypoglossal artery

2017 ◽  
Vol 9 (8) ◽  
pp. e30-e30 ◽  
Author(s):  
Alfred P See ◽  
Jacob F Baranoski ◽  
Bruno C Flores ◽  
Andrew Ducruet ◽  
Felipe C Albuquerque
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Left Vertebral Artery ◽  
Cross Sectional ◽  
Persistent Hypoglossal Artery ◽  
Arterial Access ◽  
Hypoglossal Artery ◽  
Left Posterior ◽  
Cerebellar Artery ◽  
Cross Sectional Imaging ◽  
Basilar Occlusion

Occlusion of the basilar artery can be treated with endovascular thrombectomy, although the results have not been well studied. Persistent fetal cerebrovascular anatomy can lead to unusual presentation of carotid atherosclerotic disease and can be a barrier to successful mechanical thrombectomy if not recognized. This case presents a rare persistent carotico–basilar anastomosis which resulted in basilar occlusion via the persistent hypoglossal artery and coincident absence of contralateral vertebral arterial access due to a left vertebral artery terminating in the left posterior inferior cerebellar artery. Preoperative recognition of this anatomy afforded by review of cross-sectional imaging was critical to success during this emergent procedure.

scholarly journals Successful endovascular treatment of a ruptured bihemispheric posterior inferior cerebellar artery aneurysm: illustrative case

2021 ◽  
Vol 2 (7) ◽  
Author(s):  
Shingo Nishihiro ◽  
Tomotsugu Ichikawa ◽  
Yu Takahashi ◽  
Yuichi Hirata ◽  
Nobuhiko Kawai ◽  
...  
Keyword(s):  
Anatomical Variation ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Ruptured Aneurysm ◽  
Cerebellar Hemisphere ◽  
Parent Artery ◽  
Illustrative Case ◽  
Related Complication ◽  
Cerebellar Artery ◽  
Sudden Headache

BACKGROUND Normal posterior inferior cerebellar artery (PICA) anatomy is highly variable, but bihemispheric PICA crossing the midline to supply the vascular territory of bilateral cerebellar hemisphere is rare. Herein, the authors reported a rare case of ruptured aneurysm that was associated with bihemispheric PICA and successfully treated endovascularly. OBSERVATIONS A 46-year-old woman presented with sudden headache and loss of consciousness because of an intraventricular hemorrhage due to a ruptured aneurysm that was associated with the bihemispheric PICA. Angiography revealed that the aneurysm was located at the bifurcation between the bihemispheric PICA and the bilateral distal PICA. The ruptured aneurysm was successfully occluded using coil embolization, which preserved the parent artery with no procedural-related complication. LESSONS To the best of the authors’ knowledge, this was the first report of a ruptured aneurysm associated with bihemispheric PICA being successfully treated endovascularly. Aneurysm formation may be accelerated by hemodynamic stress and vascular fragility. For neurosurgeons and neurointerventionalists, it is important to understand the anatomical variation of PICA, especially bihemispheric PICA, which is a potential risk factor for a fatal stroke.

scholarly journals Paraplegia due to a ruptured aneurysm of the distal posterior inferior cerebellar artery.

1992 ◽  
Vol 55 (9) ◽  
pp. 836-837 ◽  
Author(s):  
S Kashiwagi ◽  
E Tsuchida ◽  
Y Shiroyama ◽  
H Ito ◽  
T Yamashita
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Ruptured Aneurysm ◽  
Cerebellar Artery
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