Persistent trigeminal artery incidentally found in a patient with brain posterior system infarction: a rare case report

Persistent trigeminal artery incidentally found in a patient with brain posterior system infarction: a rare case report

The persistent trigeminal artery (PTA) is a persistent, primitive, embryonic anastomosis that provides the blood flow between the vertebro-basilar system and the carotid system. The presence of PTA anastomosis may create an advantage by providing collateral circulation during a stroke as in cases of leptomeningeal collaterals, external-internal carotid artery anastomoses, and the polygon of Willis. However, patients with this variation are more susceptible to the development of non-occlusive posterior arterial system infarction when they experience hypotension attacks. In the literature, there are only few case reports on non-occlusive posterior system infarction associated with PTA variation. In this case report, we present to an 81-year-old patient with posterior system infarct findings and persistent trigeminal artery variation.

___

  • Albay S, Kastamoni Y, Koyuncu E. Embryonal kalıntı arterler. SDÜ Tıp Fakültesi Derg 2012; 19: 62-7.
  • Sulima K, Chojdak-Łukasiewicz J, Paradowski B, Guziński M. Persistent trigeminal artery as a rare cause of vertebrobasilar insufficiency. Folia Morphol 2022; 81-3: 785-90
  • Ferreira A, Coelho PS, Cruz VT. Persistent trigeminal artery in a patient with posterior circulation stroke treated with rt-PA: case report. BMC Neurol 2019; 19: 1-6.
  • Engelhardt J, El Hage G, Bojanowski MW. Persistent trigeminal artery as collateral circulation in ischemic stroke. World Neurosurg 2021; 148: 67-9.
  • Lyu DP, Wang Y, Wang K, Yao M, Wu YF, Zhou ZH. Acute cerebral infarction in a patient with persistent trigeminal artery and homolateral hypoplasia of internal carotid artery distal anastomosis: a case report and a mini review of the literature. J Stroke Cerebrovasc Dis 2019; 28: 104388.
  • Hiramatsu R, Ohnishi H, Kawabata S, Miyachi S, Kuroiwa T. Successful recanalization for internal carotid artery occlusion with persistent primitive trigeminal artery manifesting only as ischemia of the posterior circulation. BMC Neurol 2016; 16: 1-6.
Journal of Health Sciences and Medicine-Cover
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 2018
  • Yayıncı: MediHealth Academy Yayıncılık
Sayıdaki Diğer Makaleler

Comparison of deep and combined serratus anterior plane block after video-assisted thoracoscopic surgery; a prospective randomized trial

Musa ZENGİN, Ramazan BALDEMİR, Gülay ÜLGER, Hilal SAZAK, Ali ALAGÖZ

Factors affecting the presentation time of patients with acute stroke to hospital and level of awareness of thrombolytic therapy

Ömer Faruk BOLATTÜRK

Does the distance of the fixation points to the fracture affect healing in tibial shaft fractures treated with openable distal claw intramedullary nail?

Taner ALIÇ, Gurbet YANARATEŞ, Ercan HASSA, Murat ÇALBIYIK

Comparison of Tritube™ tube and Evone® ventilator use with traditional narrow-lumen tube use in microlaryngeal surgery cases

Jülide SAYİN KART, Ummahan DALKİLİNC HOKENEK

Evaluation of the marginal fit of finish line designs of novel CAD/CAM restoration materials

Bike ALTAN, Şevki ÇINAR, Beste Burcu UZ, Davut ÖZKAN

Analysis of clinical findings and serum micronutrients in pediatric patients with nonalcoholic fatty liver disease

Meryem KEÇELİ BAŞARAN, Okan GÜRKAN

The effect of some family characteristics on the relationship between mental symptoms and levels of serum serotonin and salivatory cortisol

Özgür MADEN, Özcan UZUN

Is there any effect of long term alpha-adrenergic blocker and a single dose antibiotic usage in reducing febrile urinary tract infections after prostate biopsy?

Kubilay SARIKAYA, Muhammed Arif İBİŞ

Prognostic role of primary tumor metabolic-volumetric parameters of 18F-fluorodeoxyglucose positron emission tomography in tongue squamous cell carcinoma

Uğuray AYDOS, Süleyman CEBECİ

The relationship of dietary antioxidant capacity with laboratory and anthropometric measurements in hemodialysis patients

Hacer ALATAŞ, Nurgül ARSLAN, İrem PEMBEGÜL