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Rare variant of persistent primitive hypoglossal artery in magnetic resonance angiography

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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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References

  1. Anderson RA, Sondheimer FK (1976) Rare carotid-vertebrobasilar anastomoses with notes on the differentiation between proatlantal and hypoglossal arteries. Neuroradiology 11:113–118

    Article  CAS  PubMed  Google Scholar 

  2. 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

    Article  PubMed  Google Scholar 

  3. Batujeff N (1889) Eine seltene arterieanomalie (ursprung der a. basilaris aus des a. carotis internal). Anat Anz 4:282–285

    Google Scholar 

  4. Brismar J (1976) Persistent hypoglossal artery, diagnostic criteria. Report of a case. Acta Radiol Diagn (Stockh) 17:160–166

    CAS  Google Scholar 

  5. Kanai H, Nagai H, Wakabayashi S et al (1992) A large aneurysm of the persistent primitive hypoglossal artery. Neurosurgery 30:794–797

    Article  CAS  PubMed  Google Scholar 

  6. 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

    Article  Google Scholar 

  7. 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

    CAS  PubMed  Google Scholar 

  8. Luh GY, Dean BL, Tomsick TA et al (1999) The persistent fetal carotid-vertebrobasilar anastomoses. AJR Am J Roentgenol 172:1427–1432

    CAS  PubMed  Google Scholar 

  9. Meguro T, Terada K, Hirotsune N et al (2007) Unusual variant of persistent primitive hypoglossal artery. Br J Radiol 80:314–316

    Article  Google Scholar 

  10. 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

    Article  CAS  PubMed  Google Scholar 

  11. Nakamura M, Kobayashi S, Yoshida T et al (2000) Persistent external carotid-vertebrobasilar anastomosis via the hypoglossal canal. Neuroradiology 42:821–823

    Article  CAS  PubMed  Google Scholar 

  12. Oelerich M, Schuierer G (1997) Primitive hypoglossal artery: demonstration with distal subtraction, MRI and CT angiography. Eur Radiol 7:1492–1494

    Article  CAS  PubMed  Google Scholar 

  13. Padget DH (1954) Designation of the embryonic intersegmental arteries in reference to the vertebral artery and subclavian stem. Anat Rec 119:349–356

    Article  CAS  PubMed  Google Scholar 

  14. 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

    Article  CAS  PubMed  Google Scholar 

  15. 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

    PubMed  Google Scholar 

Download references

Acknowledgments

There were no grant supports. We kindly thank Kim Sung Eun for the artwork.

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Correspondence to Hyuk Won Chang.

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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

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