Large Arteriovenous Malformation Associated with Persistent Primitive Hypoglossal Artery

Carotid-vertebral anastomoses are commonly detected as incidental findings. But sometimes these channels are important for the clinical condition of the patient. Here a case of right thalamo-capsular arteriovenous malformation is described where a persistent primitive hypoglossal artery was the only route for embolization of the arteriovenous malformation.

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Persistent Primitive Hypoglossal Artery Associated with Arteriovenous Malformation

Neurologia medico-chirurgica ◽

10.2176/nmc.30.949 ◽

1990 ◽

Vol 30 (12) ◽

pp. 949-955 ◽

Cited By ~ 9

Author(s):

Kazuhiro YAMANAKA ◽

Kazuyuki NOGUCHI ◽

Koji HAYASAKI ◽

Yoshimi MATSUOKA

Keyword(s):

Arteriovenous Malformation ◽

Hypoglossal Artery ◽

Persistent Primitive Hypoglossal Artery

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Parietal Arteriovenous Malformation Associated with Ipsilateral Persistent Primitive Hypoglossal Artery

Rivista di Neuroradiologia ◽

10.1177/197140090201500617 ◽

2002 ◽

Vol 15 (6) ◽

pp. 769-772

Author(s):

H. Mori ◽

O. Abe ◽

K. Maruyama ◽

M. Shin ◽

M. Tago ◽

...

Keyword(s):

Arteriovenous Malformation ◽

Early Recognition ◽

Present Report ◽

Gamma Knife Radiosurgery ◽

Neurological Deficits ◽

Surgical Removal ◽

Hypoglossal Artery ◽

Diagnostic Angiography ◽

Persistent Primitive Hypoglossal Artery ◽

Distinguishing Features

We describe a patient with a rare association of a parietal arteriovenous malformation (AVM) and an ipsilateral persistent primitive hypoglossal artery (PPHA). A 27-year-old woman was treated by surgical removal, followed by gamma-knife radiosurgery. Only seven cases of intracranial AVM associated with PPHA have been reported in the literature. Although AVM associated with persistent carotid-basilar anastomosis has no distinguishing features compared with ordinary AVM, early recognition of the association is of significance to minimize neurological deficits during diagnostic angiography, interventional radiology (embolization) and surgery. The present report adds to the growing literature regarding AVMs associated with carotid-basilar anastomoses.

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Infratentorial arteriovenous malformation associated with persistent primitive hypoglossal artery

Surgical Neurology International ◽

10.4103/2152-7806.156633 ◽

2015 ◽

Vol 6 (1) ◽

pp. 71 ◽

Cited By ~ 4

Author(s):

Hiroshi Kageyama ◽

Terushige Toyooka ◽

Hideo Osada ◽

Nobusuke Tsuzuki

Keyword(s):

Arteriovenous Malformation ◽

Hypoglossal Artery ◽

Persistent Primitive Hypoglossal Artery

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E-018 Intracranial stenting of a persistent primitive hypoglossal artery in a patient presenting with acute bilateral posterior circulation infarcts

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2011-010097.84 ◽

2011 ◽

Vol 3 (Suppl_1) ◽

pp. A38-A39 ◽

Cited By ~ 1

Author(s):

M. Polo ◽

D. Chiu ◽

R. Klucznik ◽

O. Diaz-Daza

Keyword(s):

Posterior Circulation ◽

Intracranial Stenting ◽

Hypoglossal Artery ◽

Persistent Primitive Hypoglossal Artery

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A fenestrated persistent primitive hypoglossal artery harboring a ruptured aneurysm

Medicine ◽

10.1097/md.0000000000026904 ◽

2021 ◽

Vol 100 (32) ◽

pp. e26904

Author(s):

Sen He ◽

Ming-Li Wei ◽

Fei Xie ◽

Seidu A. Richard

Keyword(s):

Ruptured Aneurysm ◽

Hypoglossal Artery ◽

Persistent Primitive Hypoglossal Artery

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Persistent primitive hypoglossal artery and fenestration of posterior cerebral artery: CT and MR angiography

Neurocirugía ◽

10.1016/s1130-1473(09)70137-x ◽

2009 ◽

Vol 20 (6) ◽

pp. 563-566 ◽

Cited By ~ 7

Author(s):

L. Pasaoglu ◽

H.G. Hatipoglu ◽

M. Vural ◽

I. Ziraman ◽

H.N. Ozcan ◽

...

Keyword(s):

Cerebral Artery ◽

Mr Angiography ◽

Posterior Cerebral Artery ◽

Hypoglossal Artery ◽

Persistent Primitive Hypoglossal Artery

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Persistent Primitive Hypoglossal Artery Complicated by Atrial Septal Defect and Congenital Intrahepatic Shunts.

Internal Medicine ◽

10.2169/internalmedicine.37.60 ◽

1998 ◽

Vol 37 (1) ◽

pp. 60-64 ◽

Cited By ~ 6

Author(s):

Yuichi KOMABA ◽

Tatsuya NOMOTO ◽

Tomoharu HIRAIDE ◽

Shin KITAMURA ◽

Akiro TERASHI

Keyword(s):

Atrial Septal Defect ◽

Septal Defect ◽

Hypoglossal Artery ◽

Persistent Primitive Hypoglossal Artery ◽

Intrahepatic Shunts

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Endovascular Treatment of an Aneurysm of a Persistent Primitive Hypoglossal Artery With Complete Resolution of Brainstem Compressive Symptoms: Case Report

Neurosurgery ◽

10.1227/neu.0b013e3182077d75 ◽

2011 ◽

Vol 68 (3) ◽

pp. E854-E857 ◽

Cited By ~ 9

Author(s):

Ferdinand K. Hui ◽

Albert J. Schuette ◽

Charles M. Cawley

Keyword(s):

Lower Extremity ◽

Complete Resolution ◽

Mass Effect ◽

Neurological Deficits ◽

Lower Extremity Weakness ◽

Computed Tomographic ◽

Hypoglossal Artery ◽

Patient Reported ◽

Persistent Primitive Hypoglossal Artery ◽

The Right

Abstract BACKGROUND AND IMPORTANCE: Aneurysms of the posterior circulation may manifest with neurological deficits related to mass effect on the brainstem. We present an unusual case of an aneurysm resulting in selective lower-extremity weakness and gait instability. CLINICAL PRESENTATION: A 61-year-old man presents with progressively worsening gait instability over the course of several months. A magnetic resonance image and computed tomographic angiogram demonstrate a persistent hypoglossal artery associated with an aneurysm invaginating into the pontomedullary junction. The patient manifested only lower-extremity symptoms. An endovascular approach through the right internal carotid artery and persistent primitive hypoglossal artery was assayed, coiling off the aneurysm with complete angiographic occlusion. One month after the procedure, the patient reported marked improvement in symptoms with residual difficulty walking. At the 1-year postprocedure interval, he reported nearly complete resolution of symptoms. CONCLUSION: Endovascular therapy of an aneurysm invaginating into the brainstem is safe and efficacious.

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