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Abstrakty
The persistent trigeminal artery (PTA) is a rare remnant of the embryonic intracranial circulatory system that forms a carotid-vertebrobasilar anastomosis. In most cases PTA does not have clear clinical implications. However, some authors report the association of PTA occurrence with vertigo, dizziness and nerve palsy, resulting in diplopia, strabismus or trigeminal neuralgia in patients. In rare cases it may also be related to posterior cerebral circulation strokes. This work reports the case of a female patient who presented with migraine-like headache and an ischaemic lesion in the left temporal lobe in association with PTA. (Folia Morphol 2015; 74, 1: 133–136)
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p.133-136,fig.,ref.
Twórcy
autor
- 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
autor
- 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
autor
- 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
autor
- 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
- Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
autor
- 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
autor
- Department of Neurology, University Hospital No.4 in Lublin, Lublin, Poland
autor
- 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
autor
- 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
Bibliografia
- 1. Alcalá-Cerra G, Tubbs RS, Niño-Hernández LM (2012) Anatomical features and clinical relevance of a persistent trigeminal artery. Surg Neurol Int, 3: 111.
- 2. Allen JW, Alastra AJ, Nelson PK (2005) Proximal intracranial internal carotid artery branches: Prevalence and importance for balloon occlusion test. J Neurosurg, 102: 45–52.
- 3. Azab W, Delashaw J, Mohammed M (2012) Persistent primitive trigeminal artery: a review. Turk Neurosurg, 22: 399–406.
- 4. Bosco D, Consoli D, Lanza PL, Plastino M, Nicoletti F, Ceccotti C (2010) Complete oculomotor palsy caused by persistent trigeminal artery. Neurol Sci, 31: 657–659.
- 5. Clerici AM, Craparo G, Cafasso G, Micieli C, Bono G (2011) De-novo headache with transient vertebro-basilar symptoms: role of embryonic hypoglossal artery. J Headache Pain, 6: 639–643.
- 6. Clerici AM, Merlo P, Rognone F, Noce M, Rognone E, Bono G (2009) Persistent trigeminal artery causing “double” neurovascular conflict. Headache: J Head Face Pain, 3: 472–476.
- 7. Cucchiara B, Detre J (2008) Migraine and circle of Willis anomalies. Med Hypotheses, 70: 860–865.
- 8. Cucchiara B, Wolf RL, Nagae L, Zhang Q, Kasner S, Datta R, Aguirre GK, Detre JA (2013) Migraine with aura is associated with an incomplete circle of willis: Results of a prospective observational study. PloS One, 8: e71007.
- 9. Dimmick SJ, Faulder KC (2009) Normal variants of the cerebral circulation at multidetector CT angiography. Radiographics, 29: 1027–1043.
- 10. Eluvathingal Muttikkal TJ, Varghese SP, Chavan VN (2007) Persistent trigeminal artery and associated vascular variations. Australas Radiol, 51 Spec No.: B31–B33.
- 11. Iancu D, Anxionnat R, Bracard S (2010) Brainstem infarction in a patient with internal carotid dissection and persistent trigeminal artery: a case report. BMC medical imaging, 10: 14.
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- 17. Meckel S, Spittau B, Mcauliffe W (2013) The persistent trigeminal artery: development, imaging anatomy, variants, and associated vascular pathologies. Neuroradiology, 55: 5–16.
- 18. O’uchi E, O’uchi T (2010) Persistent primitive trigeminal arteries (PTA) and its variant (PTAV): Analysis of 103 cases detected in 16,415 cases of MRA over 3 years. Neuroradiology, 52: 1111–1119.
- 19. Obermann M, Gizewski ER, Limmroth V, Diener HC, Katsarava Z (2006) Symptomatic migraine and pontine vascular malformation: Evidence for a key role of the brainstem in the pathophysiology of chronic migraine. Cephalalgia, 26: 763–766.
- 20. Salas E, Ziyal IM, Sekhar LN, Wright DC (1998) Persistent trigeminal artery: An anatomic study. Neurosurgery, 43: 557–561.
- 21. Saltzman GF (1959) Patent primitive trigeminal artery studied by cerebral angiography. Acta Radiol, 51: 329–336.
- 22. Schwartz NE, Albers GW (2007) Neurological picture. Acute strokes in the setting of a persistent primitive trigeminal artery. J Neurol Neurosurg Psychiatry, 78: 745.
- 23. Subcommittee IHSC (2004) International classification of headache disorders, 2nd edition. Cephalalgia, 24 (suppl 1): 1–160.
- 24. Uchino A, Saito N, Okada Y, Kozawa E, Mizukoshi W, Inoue K, Takahashi M (2012) Persistent trigeminal artery and its variants on MR angiography. Surgical and radiologic anatomy, 34: 271–276.
- 25. Wise BL, Palubinskas AJ (1964) Persistent trigeminal artery (carotid-basilar anastomosis). J Neurosurg, 21: 199–206.
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Bibliografia
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