Skip to main content

Advertisement

SpringerLink
Log in

Fusiform aneurysm of a persistent trigeminal artery associated with rare intracranial arterial variations and subarachnoid hemorrhage

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

The trigeminal artery is one of four primitive anastomoses between the internal carotid artery and vertebrobasilar system that regresses in the sixth week of fetal development. A persistent trigeminal artery (PTA) is generally an incidental finding but may also be associated with intracranial vascular pathologies such as aneurysms, arteriovenous malformations, and cranial nerve compression syndromes. We present an extremely rare case of a right PTA with an associated bleeding fusiform aneurysm located in the carotidian (lateral) part of the PTA. In addition, this rare anatomic variation was associated with bilateral absence of the posterior communicating arteries, a left posterior cerebral artery originating from the left internal carotid artery, and agenesis of the A1 segment of the left anterior cerebral artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Bai M, Guo Q, Sun Y (2014) Rare saccular aneurysm in a medial type persistent trigeminal artery trunk and literature review. Surg Radiol Anat 36:299–302

    Article  PubMed  Google Scholar 

  2. Baskaya MK, Roberts R, Rivera E, Nanda A (2001) Persistent primitive trigeminal artery associated with posterior communicating artery aneurysm and hypoplastic vertebral artery. Surg Radiol Anat 23:169–171

    Article  CAS  PubMed  Google Scholar 

  3. George AE, Lin JP, Morantz RA (1971) Intracranial aneurysm on a persistent primitive trigeminal artery. Case report. J Neurosurg 35:601–604

    Article  CAS  PubMed  Google Scholar 

  4. Meckel S, Spittau B, McAuliffe W (2013) The persistent trigeminal artery: development, imaging anatomy, variants, and associated vascular pathologies. Neuroradiology 55:5–16

    Article  PubMed  Google Scholar 

  5. Tubbs RS, Verma K, Riech S, Mortazavi MM, Shoja MM, Loukas M, Curé JK, Zurada A, Cohen-Gadol AA (2011) Persistent fetal intracranial arteries: a comprehensive review of anatomical and clinical significance. J Neurosurg 114:1127–1134

    Article  PubMed  Google Scholar 

  6. Uchino A, Mizushima A, Aibe H, Tanaka M (1996) MR imaging and MR angiography of persistent trigeminal artery and its variant. Clin Imaging 20:247–252

    Article  CAS  PubMed  Google Scholar 

  7. Uchino A, Saito N, Okada Y, Kozawa E, Mizukoshi W, Inoue K, Takahashi M (2012) Persistent trigeminal artery and its variants on MR angiography. Surg Radiol Anat 34:271–276

    Article  PubMed  Google Scholar 

  8. Vasović L, Jovanović I, Ugrenović S, Vlajković S, Jovanović P, Stojanović V (2012) Trigeminal artery: a review of normal and pathological features. Childs Nerv Syst 28:33–46

    Article  PubMed  Google Scholar 

  9. Yang Z, Liu J, Zhao W, Xu Y, Hong B, Huang Q, He S (2010) A fusiform aneurysm of a persistent trigeminal artery variant: case report and literature review. Surg Radiol Anat 32:401–403

    Article  PubMed  Google Scholar 

  10. Zhang CW, Xie XD, Yang ZG, Wang CH, You C, Mao BY, He M, Sun H (2009) Giant cavernous aneurysm associated with a persistent trigeminal artery and persistent otic artery. Korean J Radiol 10:519–522

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Anatomical Sciences, School of Medicine, St. George’s University, St. George, Grenada, West Indies

    David Kimball, Heather Kimball & Marios Loukas

  2. Department of Neurosurgery, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania

    Horia Ples

  3. Neuromed Diagnostic Imaging Centre, Timisoara, Romania

    Horia Ples & Gratian D. Miclaus

  4. Department of Anatomy, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania

    Gratian D. Miclaus & Petru Matusz

  5. Department of Anatomy, Medical School Varmia and Mazuria, Olsztyn, Poland

    Marios Loukas

Authors
  1. David Kimball
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Horia Ples
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Heather Kimball
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gratian D. Miclaus
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Petru Matusz
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marios Loukas
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marios Loukas.

Additional information

D. Kimball and H. Ples contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kimball, D., Ples, H., Kimball, H. et al. Fusiform aneurysm of a persistent trigeminal artery associated with rare intracranial arterial variations and subarachnoid hemorrhage. Surg Radiol Anat 37, 115–118 (2015). https://doi.org/10.1007/s00276-014-1304-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-014-1304-8

Keywords

Search

Navigation