Bilateral Persistent Trigeminal Arteries with Unilateral Trigeminal Artery to Cavernous Sinus Fistula

Chen, David Yen Ting; Chen, Chi-Jen; Chen, Jiann Jy; Tseng, Yi‐Ping; Hsu, Hui Ling; Ku, Jan Wen

doi:10.1177/159101991301900311

Cited by 11 publications

(14 citation statements)

References 20 publications

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“…Both contralateral (4) and bilateral (5) findings have been described in association with direct CCF from ICA injury. Similarly, there are prior case reports of traumatic CCF with PPTA involvement (6) and ipsilateral orbital bruit (1) as well as spontaneous CCFs associated with PPTA inducing the manifestations of the ipsilateral side (7,8). However, this patient seems to be the first reported case to have a CCF fed by PPTA on one side causing ophthalmic manifestations solely on the contralateral side.…”

Section: Discussionsupporting

confidence: 74%

Contralateral Ocular Manifestations of a Carotid Cavernous Fistula Associated With Primitive Persistent Trigeminal Artery

Hoang¹,

Nguyen²,

Nguyen³

et al. 2021

Journal of Neuro-Ophthalmology

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Section: Discussionsupporting

confidence: 74%

Contralateral Ocular Manifestations of a Carotid Cavernous Fistula Associated With Primitive Persistent Trigeminal Artery

Hoang¹,

Nguyen²,

Nguyen³

et al. 2021

Journal of Neuro-Ophthalmology

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“…Angiographic anatomy and classification of the PPTA in two types, as cited (18), was given by Saltzman almost sixty years before. In Saltzman type 1 PPTA, the BA proximal to the junction with the PPTA may be hypoplastic, and the bilateral PCoAs may be absent; the junction of Saltzman type 2 PPTA with the BA is below the origin of the SCA, and the PCA receives blood predominantly through the patent PCoAs, whereas the BA was completely filled by one or both VAs (1,18). The type 3 can have the junction above or below the SCA where the PPTA supplies the SCA and the contralateral PCA, while the PCoA supplies the ipsilateral PCA (5,18).…”

Section: █ Discussionmentioning

confidence: 99%

Association of two primitive carotid-basilar anastomoses and cerebrovascular abnormalities on the brain base: a case report

Trandafilović

Vasović²,

Vlajković³

et al. 2017

Turkish Neurosurgery

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Simultaneous presence of the persistent primitive trigeminal artery and so-called intermediate communicating artery in a 77-years-old cadaver autopsied due to the myocardial infarction was discovered. Many vascular variants and abnormalities such as an aplasia of the right vertebral artery (VA), a presence of two right posterior cerebral arteries (PCAs), partial duplication of the right superior cerebellar artery, hypoplasia of the pre-communicating part (A1) of the right anterior cerebral artery and the right PCA of basilar origin, a special configuration of the anterior communicating artery (ACoA), and a small aneurysm at the right A1-ACoA junction were associated. The finding of an incipient cerebral aneurysm at the junction of the hypoplastic A1 and embryonal configuration of the ACoA in eight decade of life indicates that its development was caused by long-term pressure of blood flow at branching points of this artery independent from its caliber. However, it is not yet clear whether the persistence of the first and/or the second carotid-basilar anastomoses in this case was the condition for an aplasia of one VA or vice versa.

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“…Due to its anatomical proximity to the trigeminal nerve, there have been some case reports on its association with trigeminal neuralgia. Similarly, there are also some reports on the associations between the PTA with intracranial aneurysms and carvernous sinus fistulas [2, 3]. Moreover it is rarely reported in the setting of acute ischemia stroke, especially with the internal carotid artery (ICA) occlusion.…”

Section: Introductionmentioning

confidence: 99%

The protective effect of persistent trigeminal artery in patients with ischemic stroke

Kong

Ya-hui

et al. 2019

BMC Neurol

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Background Almost all case reports related to persistent trigeminal artery indicated that the existence of persistent trigeminal artery may increase the risk of ischemic stroke. However our case demonstrated that the persistent trigeminal artery may also play a protective role in preventing severe ischemic stroke by functioning as collateral circulation. Case presentation We reported a patient with left internal carotid artery occlusion with persistent trigeminal artery manifesting only as a minor acute ischemia stroke exhibiting acute onset of dizziness and difficulty in walking. Brain MRI showed two small areas of restricted diffusion on diffusion-weighted imaging in the left hemisphere. The digital subtraction angiography showed his left middle cerebral artery and bilateral anterior cerebral artery were supplied by the basilar artery via a persistent trigeminal artery. Furthermore, CT perfusion showed no remarkable difference between the two hemispheres. Conclusions Persistent trigeminal artery may have a protective role in the setting of an acquired occlusion of homolateral internal carotid artery. Therefore, it is important to fully assess the presence of the persistent trigeminal artery in acute ischemic stroke.

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Bilateral Persistent Trigeminal Arteries with Unilateral Trigeminal Artery to Cavernous Sinus Fistula

Cited by 11 publications

References 20 publications

Contralateral Ocular Manifestations of a Carotid Cavernous Fistula Associated With Primitive Persistent Trigeminal Artery

Contralateral Ocular Manifestations of a Carotid Cavernous Fistula Associated With Primitive Persistent Trigeminal Artery

Association of two primitive carotid-basilar anastomoses and cerebrovascular abnormalities on the brain base: a case report

The protective effect of persistent trigeminal artery in patients with ischemic stroke

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