Skip to main content

Advertisement

SpringerLink
Log in

New variant of persistent primitive trigeminal artery associated with duplicated basilar artery: a radiological case report

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

Abstract

Purpose

This article reports a new variant of the persistent primitive trigeminal artery. This variant does not exist in Salas and Saltzman classifications.

Methods

We analyzed CTA images of a 39-year-old male patient using RadiAnt. This work had clinical and research purposes.

Results

A persistent primitive trigeminal artery arose from left internal carotid artery termination. Its course was atypical, superior, and lateral to the sella turcica. At its end, it joined a duplicated basilar artery. These morphological features are new compared to Salas and Saltzman’s variants.

Conclusion

Anatomists, radiologists, and neurosurgeons must know this new variant. Angiographic analysis of this variant will keep the patient safe and perform the surgery. This new variant deserves to be considered in Salas and Saltzman classifications as a new type.

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
Fig. 2

Similar content being viewed by others

Availability of data and materials

Not applicable.

Abbreviations

ACA:

Anterior cerebral artery

ACOA:

Anterior communicating artery

AICA:

Anterior inferior cerebellar artery

AVM:

Arteriovenous malformation

BA:

Basilar artery

CT:

Computed tomography

CTA:

Computed tomography angiography

FPCA:

Fetal posterior cerebral artery

GCS:

Glasgow Coma Scale

ICA:

Internal carotid artery

MCA:

Middle cerebral artery

MHA:

Meningohypophyseal artery

MRA:

Magnetic resonance angiography

NIHSS:

National Institutes of Health Stroke Scale

PCA:

Posterior cerebral artery

PCOA:

Posterior communicating artery

PICA:

Posterior inferior cerebellar artery

PPTA:

Persistent primitive trigeminal artery

PTA:

Primitive trigeminal artery

SCA:

Superior cerebellar artery

VA:

Vertebral artery

References

  1. Alcalá-Cerra G, Tubbs RS, Niño-Hernández LM (2012) Anatomical features and clinical relevance of a persistent trigeminal artery. Surg Neurol Int 3:111. https://doi.org/10.4103/2152-7806.101798

    Article  PubMed  PubMed Central  Google Scholar 

  2. Azab W, Delashaw J, Mohammed M (2012) Persistent primitive trigeminal artery: a review. Turk Neurosurg 22:399–406. https://doi.org/10.5137/1019-5149.JTN.4427-11.1

    Article  PubMed  Google Scholar 

  3. Bechri H, Louraoui SM, Fikri M, El Fatemi N, El Maaqili MR, El Abbadi N (2020) Persistence of a trigeminal artery associated with a posterior meningeal artery aneurysm: case report and literature review. J Surg Case Rep 2:1–4. https://doi.org/10.1093/jscr/rjz389

    Article  Google Scholar 

  4. Ferreira A, Coelho PS, Tedim Cruz VT (2019) Persistent trigeminal artery in a patient with posterior circulation stroke treated with rt-PA: case report. BMC Neurol 19:1–6. https://doi.org/10.1186/s12883-019-1492-2

    Article  Google Scholar 

  5. Lam JJH, Bin Mohamed Shah MT, Chung SL, Ho CL (2018) Persistent primitive trigeminal artery associated with a cavernous carotid aneurysm: case report and literature review. J Radiol Case Rep 12:1–11. https://doi.org/10.3941/jrcr.v12i11.3500

    Article  PubMed  PubMed Central  Google Scholar 

  6. Shen J, Tourje J, Chang EE, Mamelak AN, Wu AW (2016) Persistent trigeminal artery in endonasal resection of skull base tumors: a systematic review. J Neurol Surg B Skull Base 77:449–455. https://doi.org/10.1055/s-0036-1581066

    Article  PubMed  PubMed Central  Google Scholar 

  7. Menshawi K, Mohr JP, Gutierrez J (2015) A functional perspective on the embryology and anatomy of the cerebral blood supply. J Stroke 17:144–158. https://doi.org/10.5853/jos.2015.17.2.144

    Article  PubMed  PubMed Central  Google Scholar 

  8. Tubb RS, Verma K, Riech S, Mortazavi MM, Shoja MM, Loukas M, Curé JK, Żurada A, Cohen-Gadol AA (2011) Persistent fetal intracranial arteries: a comprehensive review of anatomical and clinical significance. J Neurosurg 114:1127–1134. https://doi.org/10.3171/2010.11.JNS101527

    Article  Google Scholar 

  9. Wang L, Li J, Li Z, Chai S, Chen J, Xiong N, Yang B (2022) Hybrid surgery for coexistence of cerebral arteriovenous malformation and primitive trigeminal artery: a case report and literature review. Front Surg 9:1–6. https://doi.org/10.3389/fsurg.2022.888558

    Article  Google Scholar 

  10. Wang Y, Yu J (2022) Clinical importance of the persistent primitive trigeminal artery in vascular lesions and its role in endovascular treatment. Front Neurol 13:1–10. https://doi.org/10.3389/fneur.2022.928608

    Article  Google Scholar 

Download references

Funding

No funding has been received by the author for preparing this work.

Author information

Authors and Affiliations

  1. Faculty of Medicine of Oran, University of Oran 1 Ahmed Ben Bella, BP 1510 El’Mnaouer, 31000, Oran, Algeria

    Mohammed Assaad Alnafie

Authors
  1. Mohammed Assaad Alnafie
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

MAA: Project development, data collection, management and analysis, manuscript editing and writing.

Corresponding author

Correspondence to Mohammed Assaad Alnafie.

Ethics declarations

Competing interests

The authors declare no competing interests.

Conflict of interest

There is no potential conflicts of interest.

Ethical approval

This case report has been performed in accordance with the ethical standards as laid down in the Declaration of Helsinki and the ethical standards of the ethical and deontological committee of the University of Oran 1 Ahmed Ben Bella.

Consent to participate

Not applicable.

Consent to publish

The data used were totally anonymized radiological images, so consent was waived.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Alnafie, M.A. New variant of persistent primitive trigeminal artery associated with duplicated basilar artery: a radiological case report. Surg Radiol Anat 45, 321–326 (2023). https://doi.org/10.1007/s00276-023-03082-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-023-03082-2

Keywords

Search

Navigation