Bilateral cortical blindness associated with carotid stenosis in a patient with 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.

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.


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.


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.


1983 ◽  
Vol 59 (3) ◽  
pp. 520-523 ◽  
Author(s):  
Yuichiro Tanaka ◽  
Hideaki Hara ◽  
Genki Momose ◽  
Shigeru Kobayashi ◽  
Shigeaki Kobayashi ◽  
...  

✓ A case of coexisting proatlantal intersegmental artery and primitive trigeminal artery is described. These anomalies were incidental findings in a patient with hemiparesis due to occlusion of the middle cerebral artery. The primitive trigeminal artery had an asymptomatic aneurysm at its origin from the internal carotid artery.


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.


1971 ◽  
Vol 34 (5) ◽  
pp. 647-651 ◽  
Author(s):  
Francesco Galligioni ◽  
Giorgio Iraci ◽  
Gino Marin

✓ Fibromuscular hyperplasia is an alteration of the arterial wall, affecting mostly middle-aged women. When localized to the internal carotid arteries, it can give symptoms of intermittent or permanent cerebral ischemia, but is usually asymptomatic. Three cases, all of them accidental angiographic findings, are used as a basis for discussion of the angiographic features, differential diagnosis, and surgical treatment.


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.


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