A Case of Giant Thrombosed Persistent Primitive Trigeminal Artery Aneurysm Presenting with Trigeminal Neuralgia and Successfully Treated by a Covered Stent: Case Report and Review of Literature

Chen, W.-H.; Tsai, Tsung-Ying; Shen, Su‐Chin; Shen, Chiung‐Chyi; Tsuei, Yuang-Seng

doi:10.1007/s00062-014-0314-6

Cited by 19 publications

(7 citation statements)

References 10 publications

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“…Endovascular treatment has replaced open surgery to close the abnormal connections. Transarterial or transvenous administration of treatment is done by using balloons, coils and liquid adhesive agents [2].…”

Section: Discussionmentioning

confidence: 99%

“…PPTA usually originates from cavernous segment of internal carotid artery (ICA) and contacts with the central part of the basilar artery by coursing inside (medial, intrasellar type) or outside (lateral type) the sella [1]. Although patients are usually asymptomatic, it has been reported that it may accompany third and sixth cranial nerve palsies, aneurysms, vascular anomalies and hemifacial spasm [2][3][4]. The pituitary lesions accompanying PPTA and trigeminal neuralgia (TN) associated with a PPTA are rarely seen [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Ufuk¹,

Herek²

2017

MMJ

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Persistent primitive trigeminal artery (PPTA) is an abnormal embryonic vascular structure that provides connection between the carotid artery and vertebrobasilar system. PPTA usually originates from cavernous segment of internal carotid artery (ICA) and contacts with the central part of the basilar artery. The sellar lesions such as pituitary adenoma accompanying PPTA are very rare and PPTA is an unusual cause of trigeminal neuralgia. Herein, we present two cases of PPTA along with a prolactin secreting pituitary adenoma and trigeminal neuralgia (TN) due to PPTA, diagnosed by magnetic resonance imaging (MRI). We suggest that MRI would be able to properly plan and execute surgical treatment and avoid cerebral digital subtraction angiography (DSA). Keywords: Magnetic resonance imaging, Persistent trigeminal artery, Prolactinoma, Trigeminal Neuralgia ÖZPersistan primitif trigeminal arter (PPTA), anormal embriyonik vasküler yapı olup karotis arter ve vertebrobasiler sistem arasında bulunur. PPTA sıklıkla internal karotid arterin kavernöz segmentinden kaynaklanmakta olup basiller arterin santral kesimiyle birleşir. Hipofiz adenomları gibi sellar lezyonlara eşlik eden PPTA nadiren görülür ve PPTA, trigeminal nevraljinin nadir bir nedeni olabilir. Biz burada prolaktin salgılayan hipofiz adenomuna eşlik eden PPTA ve trigeminal nevraljiye neden olan PPTA tanısını manyetik rezonans görüntüleme (MRG) ile koyduğumuz iki olgu sunuyoruz. Cerrahi tedavinin planlanmasında ve yol göstermesinde invaziv yöntem olan serebral dijital substraksiyon anjiyografi (DSA)'den kaçarak, yerine MRG'nin kullanılabileceğini düşünüyoruz.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Ufuk¹,

Herek²

2017

MMJ

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“…PAO for PPTA aneurysms can be performed by coiling the PPTA together with an aneurysm with/without the assistance of a traditional stent or flow diverting stent (FDS) in the ICA or BA to protect or reconstruct the ICA or BA and even covered stent implantation in the ICA ( 39 , 40 ). For Saltzman type IIIa-c PPTA aneurysms, it can be difficult to preserve the cerebellar arteries, and the occlusion of the proximal segments can result in brainstem infarction ( 41 , 42 ).…”

Section: Role Of the Ppta In Aneurysmsmentioning

confidence: 99%

Clinical Importance of the Persistent Primitive Trigeminal Artery in Vascular Lesions and Its Role in Endovascular Treatment

Wang

2022

Front. Neurol.

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The persistent primitive trigeminal artery (PPTA) extends from the internal carotid artery to the basilar artery between the origins of the anterior inferior cerebellar artery and superior cerebellar artery. PPTAs have complex anatomical characteristics. Salas and Saltzman classifications are most often used in PPTAs. The PPTA can play many roles in vascular lesions, including intracranial aneurysms, brain arteriovenous malformations, trigeminal artery-cavernous fistulas, Moyamoya disease, and large vessel occlusion. For these lesions, surgical treatment is difficult due to the deep location and complex anatomy of the PPTA, but endovascular treatment (EVT) has emerged as a good alternative. Currently, a complete review of the clinical importance of the PPTA in terms of its role in the development and EVT of vascular lesions is lacking. Therefore, we conducted a PubMed search, performed a review of the relevant extracted literature and cataloged our experience with PPTAs. By review, we found that a thorough understanding of the anatomical and angiographic features of this PPTA is of utmost importance when making therapeutic decisions for any of these pathological conditions.

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“…In the literature, there are six reported incidence of stent-assisted treatments for PPTA aneurysms (Table 1). [15][16][17][18][19][20] Including the two cases presented herein, five aneurysms were at the ICA-PPTA, one was at the PPTA trunk, and two were at the PPTA-BA. Four cases were classified as Saltzman type 1; four were classified as types 2 or 3.…”

Section: Endovascular Treatmentmentioning

confidence: 99%

Treatment of Aneurysms in Persistent Primitive Trigeminal Arteries with Stent-Assisted Coil Embolization

Sakaï

Ando

Chihara

et al. 2021

JNET

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Persistent primitive trigeminal artery (PPTA) is a rare condition in which a fetal carotid-basilar anastomosis persists into adulthood. PPTA aneurysms often necessitate endovascular treatment and adjunctive techniques, such as stent-or balloon-assisted techniques, are sometimes selected. This case report describes two women in their sixties with unruptured right PPTA aneurysms who underwent stent-assisted coil embolization procedures, with consideration of the anatomical features in each case.Case Presentations: One patient presented with an aneurysm at the bifurcation of the PPTA and the basilar artery (BA), which was classified as Saltzman type 1 with a hypoplastic vertebral artery (VA)-BA system. A stent was deployed from the BA to the PPTA to cover the neck of the aneurysm and coil embolization was performed. The second patient presented with an aneurysm at the bifurcation of the PPTA and the internal carotid artery (ICA), which was classified as Saltzman type 2 with a hypoplastic VA-BA system. A stent was deployed from the PPTA to the petrous segment of the ICA covering the neck of the aneurysm and coil embolization was performed. In both patients, the 1-year follow-up digital subtraction angiography (DSA) showed that the aneurysms had not recurred. Conclusion:The PPTA aneurysms were successfully treated with stent-assisted coil embolization. The treatment strategy should be devised in accordance with both the lesion site and the PPTA variant. Keywords▶ persistent primitive trigeminal artery, aneurysm, stent, coil embolization This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.

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A Case of Giant Thrombosed Persistent Primitive Trigeminal Artery Aneurysm Presenting with Trigeminal Neuralgia and Successfully Treated by a Covered Stent: Case Report and Review of Literature

Cited by 19 publications

References 10 publications

Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Persistent primitive trigeminal artery as a cause of trigeminal neuralgia and persistent primitive trigeminal artery associated with pituitary adenoma: Two case reports

Clinical Importance of the Persistent Primitive Trigeminal Artery in Vascular Lesions and Its Role in Endovascular Treatment

Treatment of Aneurysms in Persistent Primitive Trigeminal Arteries with Stent-Assisted Coil Embolization

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