Trigeminal Neuralgia Caused by an Anomalous Posterior Inferior Cerebellar Artery from the Primitive Trigeminal Artery: Case Report

Lee, Seung Hwan; Koh, Jun Seok; Lee, Cheol Young

doi:10.1007/s12311-011-0249-2

Cited by 13 publications

(5 citation statements)

References 12 publications

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“…TN is an paroxysmal, lancinating and annoying facial pain syndrome occurring in the region innervated by the trigeminal nerve (CN V). The most common offending vessels are the SCA, AICA and vertebrobasilar trunk 133 , 134 . Very rarely, TN could result from the PICA associated with the PTA as mentioned before 31 .…”

Section: Neurovascular Compression Syndromementioning

confidence: 99%

See 1 more Smart Citation

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Miao¹,

Zhang²,

Wang³

et al. 2020

Int. J. Med. Sci.

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The posterior inferior cerebellar artery (PICA), with its unique anatomical complexity, is of great clinical importance and involved in many diseases including aneurysm, ischemic stroke, neurovascular compression syndrome (NVCS), arteriovenous malformation (AVM), and brain tumor. However, a comprehensive systematic review of the importance of the PICA is currently lacking. In this study, we perform a literature review of PICA by searching all the associated papers in the PUBMED database hoping to provide a better understanding of the artery. The PICA has tortuous and variable course and territory, divided into 5 segments. Various aneurysms involving PICA were not uncommon, of which the treatment is challenging. The PICA infarct typically manifests lateral medullary syndrome (LMS) and is more likely to cause mass effects. The PICA frequently compresses the medulla and the cranial nerves resulting in various neurovascular compression syndromes (NVCS). Arteriovenous malformation (AVM) fed by PICA are associated with aneurysm and dissection which have high risk of rupture and worse outcome. PICA injured by head trauma can cause fatal SAH. VA terminating in PICA probably cause Bow hunter's syndrome (BHS). The PICA supplies many brain tumors and can be used in intracerebellar chemotherapy. The PICA can be exposed and injured during surgeries especially in telovelar approach, and it also plays an important role in bypass surgeries, hinting the surgical importance of PICA. In conclusion, PICA is very important in clinical practice.

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Section: Neurovascular Compression Syndromementioning

confidence: 99%

“…Very rarely, TN could result from the PICA associated with the PTA as mentioned before 31 . Several cases demonstrated that the artery that originated from the PTA and terminated as the sole PICA caused TN 134 , 135 .…”

Section: Neurovascular Compression Syndromementioning

confidence: 99%

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Miao¹,

Zhang²,

Wang³

et al. 2020

Int. J. Med. Sci.

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“…Several reported cases of PTA-induced TN utilized cerebral angiography for verification of the PTA4,8,9). In our case, we intended to implement cerebral angiography for PTA identification; however, we used MRA only.…”

Section: Discussionmentioning

confidence: 99%

“…The vessel that most often causes TN is the superior cerebellar artery (SCA), other known offending vessels include the anterior inferior cerebellar artery (AICA) and the vertebrobasilar trunk and vein. Case reports have also rarely described TN caused by a primitive trigeminal artery (PTA)2,4,8,9). We introduce a case of TN caused by PTA that was successfully treated with surgery.…”

Section: Introductionmentioning

confidence: 96%

Trigeminal Neuralgia Caused by Persistent Primitive Trigeminal Artery

Park

Choi

Lee

et al. 2014

J Korean Neurosurg Soc

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A 66-year-old man presented with typical trigeminal neuralgia (TN). Magnetic resonance angiography (MRA) revealed a primitive trigeminal artery (PTA) that came into contact with the trigeminal nerve. Based on MRA, we performed microvascular decompression (MVD). In the operational field, we confirmed the PTA location and performed MVD successfully. Postoperatively, the patient's pain subsided without any complications.

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“…The posterior inferior cerebellar artery (PICA) usually arises from the intracranial portion of the vertebral artery. However, the PICA has numerous variations, and can emerge from the extracranial portion of the vertebral artery, 1) internal carotid artery, 2) primitive trigeminal artery, 3) primitive hypoglossal artery, 4) or posterior meningeal artery. 5) The authors report an extremely rare variation in which the PICA arose from the jugular branch of the ascending pharyngeal artery (APA).…”

Section: Introductionmentioning

confidence: 99%

Posterior Inferior Cerebellar Artery Originating from the Jugular Branch of the Ascending Pharyngeal Artery

Fujihara¹,

Takahara

Katsuta³

et al. 2019

NMC Case Report Journal

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The variation in which the posterior inferior cerebellar artery arises from the hypoglossal branch of the ascending pharyngeal artery is thought to be related to the remnant of the primitive hypoglossal artery, and is referred to as a primitive hypoglossal artery variant. Cases in which the posterior inferior cerebellar artery arises from the jugular branch of the ascending pharyngeal artery are extremely rare. The authors present a case of a 50-year-old male with vertebral artery dissection who had this extremely rare variation bilaterally. The patient also had several rare variations of the intracranial vessels. This posterior inferior cerebellar artery arising from the jugular branch of the ascending pharyngeal artery may have developed due to the anastomosis between the meningeal and the pial vessels of the posterior fossa. Alternatively, an unknown primitive anastomotic artery may have passed through the jugular foramen. Genetic factors may play an important role in the presence of this anomalous vessel.

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Trigeminal Neuralgia Caused by an Anomalous Posterior Inferior Cerebellar Artery from the Primitive Trigeminal Artery: Case Report

Cited by 13 publications

References 12 publications

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Trigeminal Neuralgia Caused by Persistent Primitive Trigeminal Artery

Posterior Inferior Cerebellar Artery Originating from the Jugular Branch of the Ascending Pharyngeal Artery

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