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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(04): 258-260
DOI: 10.4103/0971-3026.73534
Neuroradiology

Persistent primitive hypoglossal artery associated with Chiari II malformation: Diagnosis and clinical implications

Mudit Gupta
Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029, India
,
Rashmi Gupta
Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029, India
,
Ashu Seith
Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029, India
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Abstract

We present a case of persistent primitive hypoglossal artery (PPHA) associated with Chiari II malformation and discuss the clinical implications. There has been one reported case of PPHA associated with Chiari 1 malformation, but none in association with Chiari II. Our patient also had a widened hypoglossal canal, with cerebrospinal fluid (CSF) sac herniation through it.

Keywords

Chiari malformation - hypoglossal - meningocele


Publication History

Article published online:
02 August 2021

© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 De Caro R, Parenti A, Munari PF. The persistent primitive hypoglossal artery: A rare anatomic variation with frequent clinical implications. Anat Anz 1995;177:193-8.
  • 2 Vasovic L, Milenkovic Z, Jovanovic I, Cukuranovic R, Jovanoviζ P, Stefanovic I. Hypoglossal artery: A review of normal and pathological features. Neurosurg Rev 2008;31:385-95.
  • 3 Fujita N, Shimada N, Takimoto H, Satou T. MR appearance of the persistent hypoglossal artery. AJNR Am J Neuroradiol 1995;16:990-2.
  • 4 Furtado SV, Reddy K, Khandelwal N, Hegde AS. Persistent primitive hypoglossal artery associated with lower basilar artery aneurysm: Diagnosis and clinical implications. Neurol India 2009;57:79-81.
  • 5 Matsumura M, Nojiri K, Yumoto Y. Persistent primitive hypoglossal artery associated with Arnold-Chiari type I malformation. Surg Neurol 1985;24:241-4.
  • 6 Kanai H, Nagai H, Wakabayashi S, Hashimoto N. A large aneurysm of the persistent primitive hypoglossal artery. Neurosurgery 1992;30:794-7.
  • 7 Fόcsek M, Szarvas I, Kelemen A, Pohαrnok L, Horvαth I. Rare case of congenital transsphenoidal meningoencephalocele causing respiratory problems. Orv Hetil 2004;145:483-9. Hungarian.
  • 8 Akyuz M, Arslan G, Gurkanlar D, Tuncer R. CSF rhinorrhea from a transclival meningocele: A case report. J Neuroimaging 2008;18:191-3.