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Endovascular treatment for unruptured aneurysm associated with persistent primitive trigeminal artery: a case report and literature review

  • Case Report - Vascular Neurosurgery - Aneurysm
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Abstract

The persistent primitive trigeminal artery (PPTA) is the most common carotid-basilar anastomosis, and the incidence of cerebral aneurysms associated with the PPTA is approximately 4%. Since PPTA aneurysms often have a wide neck and other vascular anomalies, endovascular treatment using an adjunctive technique is the current first-line therapy. Here, we report a case of PPTA aneurysm treated by coil embolization with a stent-assisted technique. A detailed evaluation of the size and course of all vessels and collateral flow, including the Allcock test and balloon test occlusion, is necessary when deciding on the treatment strategy.

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Authors and Affiliations

  1. Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan

    Satoshi Murai, Kenji Sugiu, Tomohito Hishikawa, Masafumi Hiramatsu, Shingo Nishihiro, Naoya Kidani, Yu Takahashi & Isao Date

Authors
  1. Satoshi Murai
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  2. Kenji Sugiu
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  3. Tomohito Hishikawa
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  4. Masafumi Hiramatsu
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  5. Shingo Nishihiro
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  6. Naoya Kidani
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  7. Yu Takahashi
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  8. Isao Date
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Corresponding author

Correspondence to Kenji Sugiu.

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All patients consented to publication of this case report.

Conflict of interest

The authors declare that they have no conflicts of interest.

Additional information

This article is part of the Topical Collection on Vascular Neurosurgery - Aneurysm

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Murai, S., Sugiu, K., Hishikawa, T. et al. Endovascular treatment for unruptured aneurysm associated with persistent primitive trigeminal artery: a case report and literature review. Acta Neurochir 161, 407–411 (2019). https://doi.org/10.1007/s00701-018-3767-6

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  • DOI: https://doi.org/10.1007/s00701-018-3767-6

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