Minim Invasive Neurosurg 2008; 51(4): 218-221
DOI: 10.1055/s-2008-1080908
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Endovascular Treatment of Primitive Persistent Trigeminal Artery Aneurysm Associated with Middle Cerebral Artery Aneurysm

S. Sherkat 1 , R. Gazzeri 2 , D. Pantoli 3 , D. Fiume 1 , A. Tancredi 1 , G. Gazzeri 1
  • 1Department of Neurosurgery, San Filippo Neri Hospital, Rome, Italy
  • 2Department of Neurosurgery, San Giovanni Addolorata Hospital, Rome, Italy
  • 3Department of Neuroradiology, San Filippo Neri Hospital, Rome, Italy
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Publikationsverlauf

Publikationsdatum:
05. August 2008 (online)

Abstract

We report the case of a primitive trigeminal artery aneurysm associated with an ipsilateral middle cerebral artery aneurysm. A 64-year-old Caucasian woman suffered from a severe acute headache. A head CT scan displayed subarachnoid hemorrage and subsequent cerebral angiography showed right, wide-necked persistent trigeminal artery and ipsilateral middle cerebral artery aneurysms. The patient underwent embolization of both aneurysms with Guglielmi detachable coils. The association of a PPTA aneurysm and an ipsilateral MCA aneurysm has not been reported in the English literature.

References

  • 1 Padget DH. The development of the cranial arteries in the human embryo.  Contrib Embryo Carnegie Inst of Wash. 1948;  32 205-261
  • 2 Yilmaz E, Erhan I, Dogan T. Primitive persistent carotid-basilar and carotid-vertebral anastomoses: a report of seven cases and a review of the literature.  Clin Anat. 1995;  8 36-43
  • 3 Cloft HJ, Razack N, Kallmes DF. Prevalence of cerebral aneurysms in patients with persistent primitive trigeminal artery.  J Neurosurg. 1999;  90 865-867
  • 4 Osborn AG. Diagnostic neuroradiology. St. Louis, Mo.: Mosby-Year Book 1994: 129-132
  • 5 Giuffrè R, Sherkat S. The vertebral artery: developmental pathology.  J Neurosurg Sci. 1999;  43 175-189
  • 6 Sutton D. Anomalous carotid-basilar anastomosis.  Br J Radiol. 1950;  23 617-619
  • 7 Loevner L, Quint DJ. Persistent trigeminal artery in a patient with Sturge-Weber syndrome.  AJR. 1992;  158 872-874
  • 8 Saltzman GE. Patent primitive trigeminal artery studied by cerebral angiography.  Acta Radiol. 1959;  Sl 329-336
  • 9 Fujii I, Kawasaki S, Abe H, Yamada M, Yoshida Y. An autopsy case of a persistent primitive trigeminal artery aneurysm.  No Shinkei Geka. 1988;  16 181-186
  • 10 Takase T, Tanabe H, Kondo A, Nonoguchi N, Tane K. Surgically treated aneurysm of the trunk of the persistent primitive trigeminal artery. Case report.  Neurol Med Chir (Tokyo). 2004;  44 420-423
  • 11 George AE, Lin JP, Morantz RA. Intracranial aneurysm on a persist-ent primitive trigeminal artery. Case report.  J Neurosurg. 1971;  35 601-604
  • 12 Ahmad I, Tominaga T, Suzuki M, Ogawa A, Yoshimoto T. Primitive trigeminal artery associated with cavernous aneurysm: case report.  Surg Neurol. 1994;  41 75-79
  • 13 Agnoli AL. Vascular anomalies and subarachnoid haemorrhage associated with persisting embryonic vessels.  Acta Neurochir. 1982;  60 183-199
  • 14 Alleyne Jr CH, Krisht A, Yoo FK, Silverstein A, Colohan AR. Bilateral persistent trigeminal arteries associated with cerebral aneurysms and aortic arch vessel anomaly.  South Med J. 1997;  90 434-438
  • 15 Naruse S, Odake G, Murase K, Matsumoto S. Persistent primitive trigeminal artery associated with an ipsilateral giant aneurysm of the internal carotid artery. (author's transl).  Rinsho Hoshasen. 1978;  23 481-486 , (in Japanese)
  • 16 Kodama N, Watanabe Z, Sasaki T, Watanabe M, Yamao N, Tanji H. Direct surgical obliteration of a persistent trigeminal artery aneurysm.  No Shinkei Geka. 1984;  12 ((3 Suppl)) 325-329 , (in Japanese)
  • 17 Brick JF, Roberts T. Cerebral arteriovenous malformation coexistent with intracranial aneurysm and persistent trigeminal artery.  South Med J. 1987;  80 398-400
  • 18 Lizuka Y, Maehara T, Nakanishi H. Embolisation of a persistent primitive trigeminal artery for a large cavernous aneurysm.  Interv Neuroradiol. 1999;  5 321-325
  • 19 Enomoto T, Sato A, Maki Y. Carotid-cavernous sinus fistula caused by rupture of a primitive trigeminal artery aneurysm. Case report.  J Neurosurg. 1977;  46 373-376
  • 20 Guglielmi G, Viñuela F, Dion J, Duckwiler G, Cantore G, Delfini R. Persistent primitive trigeminal artery-cavernous sinus fistula: report of two cases.  Neurosurgery. 1990;  27 805-809
  • 21 Tokunaga K, Sugiu K, Kameda M, Sakai K, Terasaka K, Higashi T, Date I. Persistent primitive trigeminal artery-cavernous sinus fistula with intracerebral hemorrhage: endovascular treatment using detachable coils in a transarterial double-catheter technique. Case report and review of the literature.  J Neurosurg. 2004;  101 697-699
  • 22 Suzuki S, Morioka T, Matsushima T, Ikezaki K, Hasuo K, Fukui M. Moyamoya disease associated with persistent primitive trigeminal artery variant in identical twins.  Surg Neurol. 1996;  45 236-240
  • 23 Murai Y, Kobayashi S, Tateyama K, Teramoto M. Persistent primitive trigeminal artery aneurysm associated with cerebellar hemangioblastoma. Case report.  Neurol Med Chir (Tokyo). 2006;  46 143-146
  • 24 Lkushima I, Arikawa S, Korogi Y, Uehara H, Komohara Y, Takahashi M. Basilar artery aneurysm treated with coil embolization via persistent primitive trigeminal artery.  Cardiovasc Intervent Radiol. 2002;  25 70-71
  • 25 Matsumura M, Wada H, Nojiri K. Persistent primitive trigeminal artery, cavum septi pellucidi, and associated cerebral aneurysm in a patient with polycystic kidney disease: case report.  Neurosurgery. 1985;  16 395-397
  • 26 Mohammed MI, Sandhu JS, Wakhloo AK. Stent-assisted coil placement in a wide-necked persistent trigeminal artery aneurysm with jailing of the trigeminal artery: a case report.  Am J Neuroradiol. 2002;  23 437-441

Correspondence

R. GazzeriMD 

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