Ces radiol. 2017, 71(2):126-131 | DOI: 10.55095/CesRadiol2017/016

Persistent primitive trigeminal arteryCase report

Jiří Jandura1, Pavel Ryška1, Antonín Krajina1, Ondřej Slezák1, Ivana Krotká1, Jiří Kuchyňka2
1 Radiologická klinika LF UK a FN, Hradec Králové
2 Neurologická klinika LF UK a FN, Hradec Králové

Persistent primitive trigeminal artery belongs to the group of rare developmental intracranial vascular anomalies. This structure can be encountered at computed tomography (CT) and magnetic resonance imaging (MRI) or at angiographic studies of brain vessels. We report the case of an 18-year old woman in whom this artery was detected at MRI of the brain.
Persistent primitive trigeminal artery is usually asymptomatic. However, it can cause neurologic symptoms, such as tic douloureux, according to literature. There is also reported concomitant occurrence of persistent trigeminal artery together with other vascular anomalies. Persistent trigeminal artery has a vital importance in surgery planning near the region of sella. It could be also considered significant in the case of stroke.

Keywords: cerebral arteries, embryology, trigeminal neuralgia, magnetic resonance imaging

Accepted: March 30, 2017; Published: June 1, 2017  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Jandura J, Ryška P, Krajina A, Slezák O, Krotká I, Kuchyňka J. Persistent primitive trigeminal artery. Ces radiol. 2017;71(2):126-131. doi: 10.55095/CesRadiol2017/016.
Download citation

References

  1. Russo AM, Sienra MC. Persistent trigeminal artery: case report. Int J Anat Var 2011; 4: 157-160.
  2. Conforti R, Parlato RS, De Paulis D, et al. Trigeminal neuralgia and persistent trigeminal artery. Neurol Sci 2012; 33(6): 1455-1458. Go to original source... Go to PubMed...
  3. Azab W, Delashaw J, Mohammed M. Persistent primitive trigeminal artery: a review. Turk Neurosurg 2012; 22(4): 399-406. Go to original source... Go to PubMed...
  4. Zampakis P, Panagiotopoulos V, Petsas T, Kalogeropoulou Ch. Common and uncommon intracranial arterial anatomic variations in multi-detector computed tomography angiography (MDCTA). What radiologists should be aware of. Insights Imaging 2015; 6(1): 33-42. Go to original source... Go to PubMed...
  5. Dimmick SJ, Faulder KC. Normal variants of the cerebral circulation at multidetector CT angiography. Radiographics 2009; 29(4): 1027-1043. Go to original source... Go to PubMed...
  6. Pereira LP, Nepomuceno LA, Coimbra PP, Oliveira Neto SR, Natal MR. Persistent trigeminal artery: angio-tomography and angio-magnetic resonance finding. Arq Neuropsiquiatr 2009; 67(3B): 882-885. Go to original source... Go to PubMed...
  7. Uchino A, Sawada A, Takase Y, Kudo S. MR angiography of anomalous branches of the internal carotid artery. AJR Am J Roentgenol 2003; 181(5): 1409-1414. Go to original source... Go to PubMed...
  8. Seltzer J, He S, Shiroishi MS, Lucas JW, et al. Coincident intrasellar persistent trigeminal artery and craniopharyngioma: case report and implications for transsphenoidal surgery. Interdisciplinary neurosurgery: advanced techniques and case management 2014; 1(4): 91-93. Go to original source...
  9. Alcalá-Cerra G, Tubbs RS, Niño-Hernández LM. Anatomical features and clinical relevance of a persistent trigeminal artery. Surg Neurol Int 2012; 3: 111. Go to original source... Go to PubMed...
  10. Kato N, Tanaka T, Sakamoto H, et al. Identification of a persistent primitive trigeminal artery following the transposition technique for trigeminal neuralgia: a case report. Pain Res Manag 2011; 16(5): 357-359. Go to original source... Go to PubMed...
  11. Krajina A, Hlava A. Angiografie. Hradec Králové: Nucleus 1999; 114.
  12. Rhee SJ, Kim MS, Lee ChH, Lee GJ. Persistent trigeminal artery variant detected by conventional angiography and magnetic resonance angiography-incidence and clinical significance. J Korean Neurosurg Soc 2007; 42(6): 446-449. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.