Persistent Trigeminal Artery Associated with Intracranial Arterial Aneurysm

Neurosurgery ◽  
1984 ◽  
Vol 14 (5) ◽  
pp. 604-607 ◽  
Author(s):  
Román Garza-Mercado ◽  
Elisamaría Cavazos

Abstract Two patients with persistent trigeminal artery associated with a ruptured arterial intracranial aneurysm arising from the ipsilateral internal carotid artery at the level of the posterior communicating artery are presented. One patient underwent successful clipping of the aneurysm. The other patient died on the x-ray table shortly after admission during the performance of emergency carotid angiography. In each patient, the anomalous vessel was considered to be incidental.

2009 ◽  
Vol 67 (3b) ◽  
pp. 882-885 ◽  
Author(s):  
Lícia Pachêco Pereira ◽  
Lara A.M. Nepomuceno ◽  
Pablo Picasso Coimbra ◽  
Sabino Rodrigues de Oliveira Neto ◽  
Marcelo Ricardo C. Natal

The trigeminal artery (TA) is the most common embryonic carotid-vertebrobasilar anastomosis to persist into adulthood. It typically extends from the internal carotid artery to the basilar artery. Persistent primitive arteries are usually found incidentally, but are often associated with vascular malformation, cerebral aneurysm and, in case of TA, with trigeminal neuralgia. We present one patient with TA as a cause of trigeminal neuralgia and in other three as an incidental finding, on TC and MR angiograms.


Neurosurgery ◽  
1985 ◽  
Vol 17 (4) ◽  
pp. 569-573 ◽  
Author(s):  
Ming-Ying Liu ◽  
Chun-Jen Shih ◽  
Yeou-Chih Wang ◽  
Shin-Han Tsai

Abstract Five cases of traumatic intracavernous carotid aneurysm are presented. All of the patients were young men with a history of severe head injury. The clinical manifestations were massive epistaxis and an ipsilateral cavernous sinus syndrome. The diagnosis was made correctly by carotid angiography. All of the patients developed another episode of massive epistaxis after admission. Emergency trapping of the internal carotid artery was performed. An urgent rescue method was used in one of our patients to prevent exsanguination before definitive surgical treatment. One patient died of exsanguination in spite of emergency ligation of the internal carotid artery. In the other four patients, no epistaxis was experienced after the operation.


Neurosurgery ◽  
1983 ◽  
Vol 13 (3) ◽  
pp. 314-315 ◽  
Author(s):  
Van L. Lewis ◽  
Wayne S. Cail

Abstract A patient with a persistent trigeminal artery and occlusion of the internal carotid artery is presented. The development and protective hemodynamic significance of this persistent embryological anastomosis are briefly discussed.


2017 ◽  
Vol 38 ◽  
pp. 316.e7-316.e12 ◽  
Author(s):  
Mario A. Alonso-Vanegas ◽  
Eduardo Quintero-López ◽  
Juan C. Moreira-Holguín ◽  
Adrián Axallacan Martínez-Albarrán ◽  
Roberto Corona-Cedillo ◽  
...  

2019 ◽  
Vol 61 (3) ◽  
pp. 386-394
Author(s):  
Dong Young Cho ◽  
Bum-soo Kim ◽  
Jinhee Jang ◽  
Hyun Seok Choi ◽  
So Lyung Jung ◽  
...  

Background The embryological relationship between cerebellar arteries originating directly from the cavernous segment of the internal carotid artery and persistent trigeminal artery is not well understood. Purpose To evaluate the incidence and pattern of cerebellar arteries originating from the internal carotid artery and persistent trigeminal artery, and to discuss their probable embryological relationship. Material and Methods We reviewed 5113 angiographic studies from 5093 patients at our institution over the last eight years, searching for patients with persistent trigeminal artery and cerebellar arteries originating from a cavernous segment of internal carotid artery (persistent trigeminal artery variant). Results Of the 5093 patients, 27 patients had persistent trigeminal artery or persistent trigeminal artery variant (0.53%). Twenty patients (6 men, 14 women; median age = 54 years) had persistent trigeminal artery (0.39%). Seven patients (2 men, 5 women, age range = 37–72 years; median age = 57 years) had a persistent trigeminal artery variant with persistent trigeminal artery terminating in a cerebellar artery without direct connection to the basilar artery (persistent trigeminal artery variant; 0.14%). The terminal branch of the persistent trigeminal artery variant was an anterior inferior carotid artery in five patients and a superior cerebellar artery in two patients. Of the seven patients having persistent trigeminal artery variant, four patients had another artery from the basilar artery to the anterior inferior carotid artery territory. In 6/20 patients with persistent trigeminal artery, there was an anterior inferior carotid artery arising from the persistent trigeminal artery. One of these patients showed another arterial branch from the basilar artery to the anterior inferior carotid artery territory. Conclusion Persistent trigeminal artery variant and cerebellar arteries originating from the persistent trigeminal artery are both believed to be a spectrum of incomplete fusion of the longitudinal neural arteries. Understanding the precise anatomy is important in diagnostic and therapeutic settings for related vascular disease.


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