Persistent trigeminal artery: its relationship to the normal branches of the cavernous carotid

1974 ◽  
Vol 40 (2) ◽  
pp. 244-248 ◽  
Author(s):  
Dwight Parkinson ◽  
Christopher B. Shields

✓ The authors report a detailed study of an autopsy specimen indicating that the meningohypophyseal trunk and a persistent trigeminal artery apparently exist independently and have separate origins.

1983 ◽  
Vol 58 (4) ◽  
pp. 611-613 ◽  
Author(s):  
Charles W. Kerber ◽  
William Manke

✓ A spontaneous cavernous sinus fistula developed following presumed sinusitis, and was found to originate not from the carotid artery but from a persistent trigeminal artery. The fistula was treated by introducing a detachable latex balloon via a femoral artery approach through the trigeminal artery and then into the cavernous sinus. Flow through the carotid, vertebral, and trigeminal arteries was preserved.


1989 ◽  
Vol 70 (2) ◽  
pp. 271-273 ◽  
Author(s):  
K. Stuart Lee ◽  
David L. Kelly

✓ The case of a patient with Cushing's disease and a pituitary macroadenoma, who also had a persistent trigeminal artery coursing through the sella turcica on preoperative imaging studies, is presented. The patient was treated by transsphenoidal resection of the tumor.


1977 ◽  
Vol 46 (1) ◽  
pp. 104-106 ◽  
Author(s):  
Frederick T. Waller ◽  
Robert L. Simons ◽  
Charles Kerber ◽  
Ilmar O. Kiesel ◽  
Calvin T. Tanabe

✓ The authors report two cases of transient ischemic attacks (TIA's) involving the brain stem. The TIA's were due to microemboli that originated from a carotid bifurcation atherosclerotic plaque and travelled through a persistent trigeminal artery.


1980 ◽  
Vol 52 (5) ◽  
pp. 709-711 ◽  
Author(s):  
David J. Heeney ◽  
Andrew H. Koo

✓ A patient with findings of bilateral cortical blindness and a unilateral carotid bruit is reported. A persistent trigeminal artery allowed emboli from a unilateral ulcerated internal carotid plaque to affect the visual cortex bilaterally. The angiographic findings and a brief discussion of this anomalous artery are presented.


1974 ◽  
Vol 40 (2) ◽  
pp. 249-251 ◽  
Author(s):  
Glenn Morrison ◽  
William M. Hegarty ◽  
Charles C. Brausch ◽  
Theodore J. Castele ◽  
Rorert J. White

✓ A woman with a fusiform aneurysm of a persistent trigeminal artery sustained a subarachnoid hemorrhage and presented with hypalgesia in the distribution of the maxillary and mandibular nerves. The first successful direct operative treatment of this rare aneurysm is reported.


1971 ◽  
Vol 35 (5) ◽  
pp. 601-604 ◽  
Author(s):  
Ajax E. George ◽  
Joseph P. Lin ◽  
Robert A. Morantz

✓ The angiographic demonstration of a rare case of persistent trigeminal artery aneurysm is reported. The incidence of persistent trigeminal artery in the authors' series is 0.6%. Approximately 14% of patients with a persistent trigeminal artery also have an intracranial aneurysm. The embryology involved and related cases are reviewed.


1994 ◽  
Vol 80 (3) ◽  
pp. 559-563 ◽  
Author(s):  
Eric S. Ballantyne ◽  
Rosalind D. Page ◽  
James F. M. Meaney ◽  
Thomas E. Nixon ◽  
John B. Miles

✓ The case is reported of a 60-year-old woman with left-sided trigeminal neuralgia, hemifacial spasm, and hypertension. Compression of the left trigeminal, facial, and vagus nerves by the anterior and posterior inferior cerebellar arteries and a persistent trigeminal artery variant were demonstrated by magnetic resonance angiography using a novel sequence. At operation the angiographic appearances were confirmed, and decompression was performed with the placement of polyvinyl sponge at all three levels. Postoperatively, the patient had complete relief from the trigeminal neuralgia and hemifacial spasm and has sustained normotension without medication.


1978 ◽  
Vol 49 (4) ◽  
pp. 614-619 ◽  
Author(s):  
Jack Stern ◽  
James W. Correll ◽  
Nick Bryan

✓ Two patients, one with a persistent hypoglossal artery and the other with a persistent trigeminal artery, presented with transient ischemic attacks in the distribution of the posterior fossa. Both had stenosis and ulcerative plaques at the carotid bifurcation. Their symptoms were successfully relieved after carotid endarterectomy.


1977 ◽  
Vol 47 (4) ◽  
pp. 613-618 ◽  
Author(s):  
Glen S. Merry ◽  
Kenneth G. Jamieson

✓ A case is reported of persistent trigeminal artery producing intermittent facial pain, the last episode being associated with diplopia. The trigeminal and abducent nerves were attached to the trigeminal artery by a congenital membrane. Blood supply to the vertebrobasilar system was via the persistent vessel. A new operative approach along the petrous-temporal ridge is described.


1999 ◽  
Vol 90 (5) ◽  
pp. 865-867 ◽  
Author(s):  
Harry J. Cloft ◽  
Nasser Razack ◽  
David F. Kallmes

Object. The aim of this study was to determine the prevalence of cerebral saccular aneurysms in patients with persistent primitive trigeminal artery (PPTA). The prevalence of cerebral saccular aneurysms in patients with PPTA previously has been reported to be 14 to 32%, but this rate range is unreliable because it is based on collections of published case reports rather than a series of patients chosen in an unbiased manner.Methods. The authors retrospectively evaluated their own series of 34 patients with PPTA to determine the prevalence of cerebral aneurysms in this population. The prevalence of intracranial aneurysms in patients with PPTA was approximately 3% (95% confidence interval 0–9%).Conclusions. The prevalence of intracranial aneurysms in patients with PPTA is no greater than the prevalence of intracranial aneurysms in the general population.


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