Persistent primitive hypoglossal artery associated with a ruptured basilar aneurysm: case report

Yukawa, Hiroyuki; Koizumi, Toru; Hoshimaru, Minoru; Kihara, Shun-ichi; Kawanabe, Yoshifumi; Umebayashi, Takeshi; Ueda, Shigeo; Sasaki, Nobuhiro; Kumamoto, Shinji; Sawada, Masahiro

doi:10.5797/jnet.3.187

JNET

2009

DOI: 10.5797/jnet.3.187

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Persistent primitive hypoglossal artery associated with a ruptured basilar aneurysm: case report

Hiroyuki Yukawa¹,

Toru Koizumi²,

Minoru Hoshimaru³

et al.

Abstract: Objective:The authors present a case with persistent primitive hypoglossal artery (PPHA) associated with a ruptured basilar aneurysm. Clinical presentation: A 58-year-old woman with subarachnoid hemorrhage (SAH) was admitted to our hospital. Her neurological condition was Grade III (Hunt and Kosnic). Cerebral angiography revealed a PPHA and a saccular aneurysm at the tip of the basilar artery. The aneurysm was successfully embolized with GDC coils through the PPHA. After a ventriculo-peritoneal shunt for hydro… Show more

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Cited by 2 publications

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Carotid Artery Stenting for Symptomatic Stenosis of the Cervical Carotid Artery Associated with Persistent Primitive Hypoglossal Artery: A Case Report

Kaku

Nishimura

Fuga³

et al. 2017

JNET

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Objective: A case of symptomatic cervical carotid artery stenosis with persistent primitive hypoglossal artery (PPHA) treated by carotid artery stenting (CAS) with appropriate embolic protection is reported.Case Presentation: The patient was a 65-year-old male presenting with left hemiplegia. MRI revealed infarction in the right cerebral hemisphere, and cerebral angiography demonstrated stenosis affecting the proximal segment of the internal carotid artery (ICA), proximal to the origin of the PPHA. Since blood flow was observed from the PPHA to the ICA during simultaneous obstruction of the common and external carotid arteries, a filter protection device was placed in the ICA along with proximal protection, and CAS could be performed without complications. Conclusion:In performing CAS for symptomatic stenosis of the cervical carotid artery with PPHA, it is considered important to select appropriate embolic protection based on the evaluation of the direction of the blood flow of the ICA and PPHA under balloon occlusion conditions.Keywords▶ carotid artery stenting, persistent primitive hypoglossal artery, cervical internal carotid artery stenosis, endovascular surgery

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Carotid Artery Stenting for Symptomatic Stenosis of the Cervical Carotid Artery Associated with Persistent Primitive Hypoglossal Artery: A Case Report

Kaku

Nishimura

Fuga³

et al. 2017

JNET

View full text Add to dashboard Cite

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Stent Placement for Stenosis at the Origin of a Persistent Primitive Proatlantal Artery: A Case Report

Tsuboi

Itokawa²,

Narikiyo

et al. 2018

JNET

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Objective: We report a case of severe stenosis at the origin of the persistent primitive proatlantal artery (PPPA) for which a favorable outcome was obtained through stent placement.Case Presentation: A 75-year-old man was admitted to our hospital primarily complaining of sudden onset numbness of the left side of the body. Magnetic resonance angiography showed infarction on the dorsal side of the right pons.Cerebral angiography revealed a PPPA that arose from the right carotid artery, with marked stenosis at its origin. With balloon protection of the internal carotid artery and PPPA, a stent was placed in the stenosed area. Adequate dilatation was achieved and no new neurologic deficits were noted after treatment. Conclusion:Stenting could be performed safely with the concomitant use of appropriate protection for stenosis of the origin of the PPPA.

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Persistent primitive hypoglossal artery associated with a ruptured basilar aneurysm: case report

Cited by 2 publications

References 9 publications

Carotid Artery Stenting for Symptomatic Stenosis of the Cervical Carotid Artery Associated with Persistent Primitive Hypoglossal Artery: A Case Report

Carotid Artery Stenting for Symptomatic Stenosis of the Cervical Carotid Artery Associated with Persistent Primitive Hypoglossal Artery: A Case Report

Stent Placement for Stenosis at the Origin of a Persistent Primitive Proatlantal Artery: A Case Report

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