Skip to main content

Advertisement

SpringerLink
Log in

Persistent trigeminal artery associated with an occipital arteriovenous malformation: a case report and literature review

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Background

Persistent trigeminal artery or persistent primitive trigeminal artery (PTA) is the most common carotid-basilar anastomosis in both cadaveric and live patient studies, followed by persistent hypoglossal and persistent otic arteries. Approximately 0.2% of all angiographies reported this finding.

Case report: We present the case of a 21-year-old male who arrived at the emergency department with tonic‒clonic seizures. After performing diagnostic contrast magnetic resonance imaging and digital subtraction angiography, the patient was diagnosed with a right occipital arteriovenous malformations (AVM) fed by the right calcarine artery associated with an ipsilateral PTA. After considering surgical and endovascular treatment options, the patient was selected for watchful waiting. We included a literature review of the PTA, the results of a PubMed search regarding the combined presence of these findings, and a brief discussion providing insight into the implications for treatment.

Conclusions

Although several studies have linked PTA to different vascular pathologies, such as cerebral aneurysms, the association between PTA and AVMs remains scarce. This case, along with the literature review, shows that further research is needed to characterize the relationship between these findings.

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

Clinical data related to the case are available upon request.

References

  1. Abe T, Matsumoto K, Aruga T (1994) Primitive trigeminal artery variant associated with intracranial ruptured aneurysm and cerebral arteriovenous malformation. Case report. Neurol Med Chir (Tokyo) 34:104–107

    Article  CAS  Google Scholar 

  2. Azab W, Delashaw J, Mohammed M (2012) Persistent primitive trigeminal artery: a review. Turk Neurosurg 22(4):399–406. https://doi.org/10.5137/1019-5149.JTN.4427-11.1

    Article  PubMed  Google Scholar 

  3. Brick JF, Roberts T (1987) Cerebral arteriovenous malformation coexistent with intracranial aneurysm and persistent trigeminal artery. South Med J 80(3):398–400. https://doi.org/10.1097/00007611-198703000-00036

    Article  CAS  PubMed  Google Scholar 

  4. Choudhri O, Heit JJ, Feroze AH, Chang SD, Dodd RL, Steinberg GK (2015) Persistent trigeminal artery supply to an intrinsic trigeminal nerve arteriovenous malformation: a rare cause of trigeminal neuralgia. J Clin Neurosci 22(2):409–412. https://doi.org/10.1016/j.jocn.2014.06.007

    Article  PubMed  Google Scholar 

  5. Gannon WE (1962) Malformation of the brain. Persistent trigeminal artery and arteriovenous malformation. Arch Neurol 6:496–498. https://doi.org/10.1001/archneur.1962.00450240074009

    Article  CAS  PubMed  Google Scholar 

  6. Jayaraman A, Garofalo M, Brinker RA, Chusid JG (1977) Cerebral arteriovenous malformation and the primitive trigeminal artery. Arch Neurol 34(2):96–98. https://doi.org/10.1001/archneur.1977.00500140050009

    Article  CAS  PubMed  Google Scholar 

  7. Komiyama M (2019) Persistent trigeminal artery and its variants. Interv Neuroradiol 25(6):635–637. https://doi.org/10.1177/1591019919863110

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kono K, Matsuda Y, Terada T (2013) Resolution of trigeminal neuralgia following minimal coil embolization of a primitive trigeminal artery associated with a cerebellar arteriovenous malformation. Acta Neurochir (Wien) 155(9):1699–1701. https://doi.org/10.1007/s00701-013-1753-6

    Article  Google Scholar 

  9. Mohanty CB, Devi BI, Somanna S, Bhat DI, Dawn R (2011) Corpus callosum arteriovenous malformation with persistent trigeminal artery. Br J Neurosurg 25(6):736–740. https://doi.org/10.3109/02688697.2011.554583

    Article  PubMed  Google Scholar 

  10. Nakai Y, Yasuda S, Hyodo A, Yanaka K, Nose T (2000) Infratentorial arteriovenous malformation associated with persistent primitive trigeminal artery—case report. Neurol Med Chir (Tokyo) 40(11):572–574. https://doi.org/10.2176/nmc.40.572

    Article  CAS  Google Scholar 

  11. Oran I, Parildar M, Memis A, Yunten N (2000) Catheter and MR angiography of persistent trigeminal artery associated with occipital arteriovenous malformation. Comput Med Imaging Graph 24(1):33–35. https://doi.org/10.1016/s0895-6111(99)00040-3

    Article  CAS  PubMed  Google Scholar 

  12. Perret G, Nishioka H (1966) Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section VI. Arteriovenous malformations. An analysis of 545 cases of cranio-cerebral arteriovenous malformations and fistulae reported to the cooperative study. J Neurosurg 25(4):467–490. https://doi.org/10.3171/jns.1966.25.4.0467

    Article  CAS  PubMed  Google Scholar 

  13. Tomsick TA, Lukin RR, Chambers AA (1979) Persistent trigeminal artery: unusual associated abnormalities. Neuroradiology 17(5):253–257. https://doi.org/10.1007/BF00337535

    Article  CAS  PubMed  Google Scholar 

  14. Uchino A, Matsunaga M, Ohno M (1989) Arteriovenous malformation of the corpus callosum associated with persistent primitive trigeminal artery—case report. Neurol Med Chir (Tokyo) 29(5):429–432. https://doi.org/10.2176/nmc.29.429

    Article  CAS  Google Scholar 

  15. Wan Z, Meng H, Xu N et al (2019) Coil embolisation of multiple cerebral aneurysms with lateral type I persistent primitive trigeminal artery: a case report and literature review. Interv Neuroradiol 25(6):628–634. https://doi.org/10.1177/1591019919859507

    Article  PubMed  PubMed Central  Google Scholar 

  16. Yilmaz E, Ilgit E, Taner D (1995) Primitive persistent carotid-basilar and carotid-vertebral anastomoses: a report of seven cases and a review of the literature. Clin Anat 8(1):36–43. https://doi.org/10.1002/ca.980080107

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

This manuscript was written using internal funding. No external private, commercial, or governmental funding sources were used.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico

    Luis Alberto Rodriguez-Hernandez

  2. Department of Interventional Neuroradiology, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico

    Pablo Martinez, Iván Baracaldo, Diego Lopez-Mena & Héctor Alfredo Montenegro Rosales

  3. Department of Neurology, Universidad del Sinu, Cordoba, Colombia

    Monica Alonso

Authors
  1. Luis Alberto Rodriguez-Hernandez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pablo Martinez
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Iván Baracaldo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Monica Alonso
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Diego Lopez-Mena
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Héctor Alfredo Montenegro Rosales
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

PM and LR wrote the main manuscript. PM prepared Table 1. IB prepared Figs. 1 and 2. MA prepared Fig. 2. DL-M reviewed the first draft and prepared Fig. 1. HM reviewed the final draft. All authors reviewed the manuscript.

Corresponding author

Correspondence to Héctor Alfredo Montenegro Rosales.

Ethics declarations

Conflict of interest

The authors declare no competing interests.

Ethics approval

All procedures were carried out in accordance with the ethical standards of the Institutional Research Board, The General Health Law in Mexico and the Helsinki Declaration. The study was approved by the Internal Research Board.

Consent to participate

Informed consent was obtained from the patient.

Consent for publication

The patient consented to the use of their personal data included in this case report.

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 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

Rodriguez-Hernandez, L.A., Martinez, P., Baracaldo, I. et al. Persistent trigeminal artery associated with an occipital arteriovenous malformation: a case report and literature review. Surg Radiol Anat 44, 1271–1275 (2022). https://doi.org/10.1007/s00276-022-03003-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-022-03003-9

Keywords

Search

Navigation