Abstract
We present an extremely rare case of a variant of persistent primitive hypoglossal artery, which was found incidentally in magnetic resonance angiography during an examination for dizziness. This anastomotic vessel arose from the external carotid artery (ECA), not internal carotid artery, and entered the hypoglossal canal to basilar artery. To our knowledge, this is the fourth reported case of the persistent hypoglossal artery arising from the ECA. The possible clinical implications of this anomalous vessel are discussed.
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Anderson RA, Sondheimer FK (1976) Rare carotid-vertebrobasilar anastomoses with notes on the differentiation between proatlantal and hypoglossal arteries. Neuroradiology 11:113–118
Avcu S, Van der Schaaf I, Ozcan H et al (2009) Persistent hypoglossal artery detected incidentally in a hypertensive patient with intracerebral hemorrhage: a case report and review of the literature. Cases J 2:8571
Batujeff N (1889) Eine seltene arterieanomalie (ursprung der a. basilaris aus des a. carotis internal). Anat Anz 4:282–285
Brismar J (1976) Persistent hypoglossal artery, diagnostic criteria. Report of a case. Acta Radiol Diagn (Stockh) 17:160–166
Kanai H, Nagai H, Wakabayashi S et al (1992) A large aneurysm of the persistent primitive hypoglossal artery. Neurosurgery 30:794–797
Kim JT, Heo SH, Lee SH et al (2009) An uncommon anastomosis of the posterior inferior cerebellar artery and the external carotid artery with the patent vertebrobasilar system. Br J Radiol 82(981):171–174
Lasjaunias P, Guibert-Tranier F, Braun JP (1981) The pharyngocerebellar artery or ascending pharyngeal artery origin of the posterior inferior cerebellar artery. J Neuroradiol 8:317–325
Luh GY, Dean BL, Tomsick TA et al (1999) The persistent fetal carotid-vertebrobasilar anastomoses. AJR Am J Roentgenol 172:1427–1432
Meguro T, Terada K, Hirotsune N et al (2007) Unusual variant of persistent primitive hypoglossal artery. Br J Radiol 80:314–316
Maeshima S, Ozaki F, Masuo O et al (1998) Persistent primitive hypoglossal artery visualized on three-dimensional computerized tomography angiography. Case illustration. J Neurosurg 89(6):1069
Nakamura M, Kobayashi S, Yoshida T et al (2000) Persistent external carotid-vertebrobasilar anastomosis via the hypoglossal canal. Neuroradiology 42:821–823
Oelerich M, Schuierer G (1997) Primitive hypoglossal artery: demonstration with distal subtraction, MRI and CT angiography. Eur Radiol 7:1492–1494
Padget DH (1954) Designation of the embryonic intersegmental arteries in reference to the vertebral artery and subclavian stem. Anat Rec 119:349–356
Welten RJ, Eikelboom BC, Ackerstaff RG et al (1988) A persistent hypoglossal artery arising from the external carotid artery. Eur J Vasc Surg 2:269–272
Yang CW, Carr JC, Futterer SF et al (2005) Contrast-enhanced MR angiography of the carotid and vertebrobasilar circulations. AJNR Am J Neuroradiol 26:2095–2101
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There were no grant supports. We kindly thank Kim Sung Eun for the artwork.
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Lee, E.J., Chang, H.W., Cho, C.H. et al. Rare variant of persistent primitive hypoglossal artery in magnetic resonance angiography. Surg Radiol Anat 32, 801–804 (2010). https://doi.org/10.1007/s00276-010-0664-y
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DOI: https://doi.org/10.1007/s00276-010-0664-y