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Related Experiment Videos

Bilateral persistent trigeminal arteries presenting with brain-stem infarction.

Y Okada1, T Shima, M Nishida

  • 1Department of Neurosurgery, Chugoku Rousai Hospital, Kure, Japan.

Neuroradiology
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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A case report details a 43-year-old male experiencing left hemiparesis from brain-stem infarction. This stroke was linked to bilateral persistent trigeminal arteries, highlighting their role in vertebrobasilar territory ischemic events.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroimaging

Background:

  • Persistent trigeminal arteries are rare congenital vascular anomalies connecting the internal carotid artery and the basilar artery.
  • These anomalies can potentially alter cerebral blood flow dynamics and collateral circulation.
  • Their role in ischemic stroke, particularly in the vertebrobasilar territory, is not fully understood.

Observation:

  • A 43-year-old male presented with acute left hemiparesis.
  • Neuroimaging revealed a brain-stem infarction.
  • The infarction was associated with the presence of bilateral persistent trigeminal arteries.

Findings:

  • The case demonstrates a direct association between bilateral persistent trigeminal arteries and brain-stem infarction.

Related Experiment Videos

  • Clinicopathological and radiographic analysis supports the significance of these persistent carotid-basilar arterial anastomoses.
  • These anomalies may contribute to ischemic events within the vertebrobasilar circulation.
  • Implications:

    • This case underscores the importance of recognizing persistent trigeminal arteries in the evaluation of ischemic stroke, especially in the posterior circulation.
    • Understanding the hemodynamic impact of these anomalies is crucial for risk stratification and management.
    • Further research into persistent carotid-basilar anastomoses may elucidate their contribution to cerebrovascular diseases.