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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(03): 861-863
DOI: 10.4103/1793-5482.238078
Case Report

Persistent primitive trigeminal artery associated with anterior communicating artery aneurysm and hypoplastic vertebral artery

Marco Zenteno
RED LATINO, Latin American Trauma and Intensive Neuro-Care Organization, Bogota
,
Moscote-Salazar Rafael
1   Department of Neurological Endovascular Therapy, The National Institute of Neurology and Neurosurgery, Manuel Velasco Suárez, Mexico City
,
Ángel Lee
2   Teaching Department, Hospital San Angel Inn University, Mexico City
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The persistent trigeminal artery is one of the presegmental arteries in the embryonic period; in some rare cases, it is associated with cerebral aneurysm but as a cause of subarachnoid hemorrhage (SAH) has not been described in the literature. We report a patient who presented a Fisher IV SAH associated with a ruptured intracranial aneurysm. The performed cerebral angiography demonstrated the presence of aneurysm in the anterior communicating artery associated to hypoplastic vertebral artery on the same side. We considered those finding coincidental. The coexistence of saccular aneurysm with anatomical variations in the intracranial vasculature is briefly discussed. It was managed by endovascular embolization. The patient returned to normal activities.

Key-words:

Aneurysm - hypoplastic vertebral artery - subarachnoid hemorrhage - trigeminal artery


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. 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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