Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery

Carotid Artery Stenting for Symptomatic Stenosis of the Cervical Carotid Artery Associated with Persistent Primitive Hypoglossal Artery: A Case Report

Objective: A case of symptomatic cervical carotid artery stenosis with persistent primitive hypoglossal artery (PPHA) treated by carotid artery stenting (CAS) with appropriate embolic protection is reported. Case Presentation: The patient was a 65-year-old male presenting with left hemiplegia. MRI revealed infarction in the right cerebral hemisphere, and cerebral angiography demonstrated stenos...

Primitive hypoglossal artery and carotid endarterectomy.

A patient with transient ischemic symptoms in the carotid and vertebrobasilar distribution is reported. His arteriogram demonstrated a persistent primitive hypoglossal artery which in part may explain the clinical picture. The embryology, radiology, clinical manifestations, and surgical considerations of this rare anomaly are discussed.

Persistent primitive hypoglossal artery and fenestration of posterior cerebral artery: CT and MR angiography.

Persistent primitive hypoglossal artery (PPHA) which is a persistent carotid-basilar anastomosis is a rare vascular anomaly. It is usually found incidentally. Fenestrations of cerebral arteries are uncommon. Herein we present a case of PPHA with fenestration of posterior cerebral artery. A 28 year old man was admitted to our hospital with complaints of dizziness and temporary loss of vision. Ne...

A Penetrating Pellet Jeopardizing Internal Carotid Artery

Variant of Persistent Primitive Trigeminal Artery Associated with Giant Internal Carotid Artery Pseudoaneurysm

We report a rare variation of the left persistent primitive trigeminal artery with direct anastomosis with the ipsilateral posterior cerebral artery in a 53-year-old women. She was sent to the hospital with visual deterioration and consciousness disturbance (Glasgow coma scale = E4V3M5). Marked hydrocephalus was found. An associated giant pseudoaneurysm was shown arising from the cisternal segm...