Ruptured cerebral aneurysm associated with a persistent primitive trigeminal artery variant

Abstract A 51-year-old man with polycystic kidney disease had a persistent primitive trigeminal artery, cavum septi pellucidi, and an unruptured cerebral aneurysm. He had a history of long-standing hypertension, but not of subarachnoid hemorrhage. Computed tomograms revealed cavum septi pellucidi. Because of the polycystic kidney disease, we performed four-vessel cerebral angiography, which revealed a persistent primitive trigeminal artery and a cerebral aneurysm at the bifurcation of the left internal carotid artery. The neck of the aneurysm was clipped successfully without producing any neurological deficit. The clinical significance of the combination of these multiple anomalies and cerebral aneurysms is discussed.

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Giant, thrombosed, sellar–suprasellar internal carotid artery aneurysm with persistent, primitive trigeminal artery causing hypopituitarism

Acta Neurochirurgica ◽

10.1007/s00701-010-0931-z ◽

2011 ◽

Vol 153 (5) ◽

pp. 1129-1133 ◽

Cited By ~ 8

Author(s):

Arun Tungaria ◽

Vijendra Kumar ◽

Pallav Garg ◽

Awadhesh K. Jaiswal ◽

Sanjay Behari

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Artery Aneurysm ◽

Trigeminal Artery ◽

Carotid Artery Aneurysm ◽

Persistent Primitive Trigeminal Artery ◽

Internal Carotid Artery Aneurysm ◽

Primitive Trigeminal Artery

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Thrombectomy in posterior circulation stroke through persistent primitive trigeminal artery: A case report

Interventional Neuroradiology ◽

10.1177/1591019915609122 ◽

2015 ◽

Vol 21 (6) ◽

pp. 715-718 ◽

Cited By ~ 5

Author(s):

MJHL Mulder ◽

GJ Lycklama à Nijeholt ◽

W Dinkelaar ◽

TPW de Rooij ◽

ACGM van Es ◽

...

Keyword(s):

Posterior Circulation ◽

Superior Cerebellar Artery ◽

Trigeminal Artery ◽

Left Hand ◽

Persistent Primitive Trigeminal Artery ◽

Cerebellar Artery ◽

Intervention Patient ◽

Primitive Trigeminal Artery ◽

The Right ◽

Neurovascular Anatomy

We describe a case of intra-arterial treatment (IAT) of acute posterior circulation occlusion in a patient with a persistent primitive trigeminal artery (PPTA). The patient presented with an acute left sided hemiparesis and loss of consciousness (Glasgow coma score of 5). Computed tomography angiography showed an acute occlusion of the right internal carotid artery (ICA), the PPTA, distal basilar artery (BA), right posterior cerebral artery (PCA), and right superior cerebellar artery (SCA). Stent-retriever assisted thrombectomy was not considered possible through the hypoplastic proximal BA. After passage of the proximal ICA occlusion, the right PCA and SCA were recanalized through the PPTA, with a single thrombectomy procedure. Ten days after intervention patient was discharged scoring optimal EMV with only a mild facial and left hand paresis remaining. PPTA is a persistent embryological carotid–basilar connection. Knowledge of existing (embryonic) variants in neurovascular anatomy is essential when planning and performing acute neurointerventional procedures.

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Carotid Cavernous Fistula Associated With Persistent Primitive Trigeminal Artery

Journal of Neuro-Ophthalmology ◽

10.1097/00041327-200020040-00012 ◽

2000 ◽

Vol 20 (4) ◽

pp. 264-265 ◽

Cited By ~ 12

Author(s):

Briggs E. Cook ◽

Jacqueline A. Leavitt ◽

Joseph W. Dolan ◽

Douglas A. Nichols

Keyword(s):

Trigeminal Artery ◽

Carotid Cavernous Fistula ◽

Cavernous Fistula ◽

Persistent Primitive Trigeminal Artery ◽

Primitive Trigeminal Artery

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Prevalence of cerebral aneurysms in patients with persistent primitive trigeminal artery

Journal of Neurosurgery ◽

10.3171/jns.1999.90.5.0865 ◽

1999 ◽

Vol 90 (5) ◽

pp. 865-867 ◽

Cited By ~ 56

Author(s):

Harry J. Cloft ◽

Nasser Razack ◽

David F. Kallmes

Keyword(s):

Intracranial Aneurysms ◽

Case Reports ◽

Cerebral Aneurysms ◽

Trigeminal Artery ◽

Content Type ◽

Persistent Primitive Trigeminal Artery ◽

Unbiased Manner ◽

Primitive Trigeminal Artery ◽

Fine Print ◽

Saccular Aneurysms

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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