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[Persistent primitive trigeminal artery associated with brain cavernoma. Case report].

A Heckly1, A Hamlat, B Carsin-Nicol

  • 1Service de Gynécologie et d'Obstétrique, CHRU Pontchaillou, Rennes.

Neuro-Chirurgie
|November 18, 2004
PubMed
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Persistent trigeminal artery, the most common embryonic carotid-basilar anastomosis, is often linked to intracranial issues. This report details a rare association between a persistent trigeminal artery and a cavernoma in a young woman presenting with seizures.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroimaging

Background:

  • Persistent trigeminal artery is the most common remnant of embryonic carotid-basilar anastomosis.
  • It is frequently associated with various intracranial abnormalities.
  • No prior reports document an association with cavernoma.

Observation:

  • A young woman presented with seizures after a spontaneous abortion.
  • CT imaging revealed a right frontal hematoma.
  • MRI demonstrated a cavernoma associated with a persistent trigeminal artery.

Findings:

  • The study reports a rare co-occurrence of a cavernoma and a persistent trigeminal artery.
  • Surgical removal of the cavernoma was performed via a frontal approach.
  • This case expands the known spectrum of lesions associated with persistent trigeminal artery.

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Implications:

  • Highlights the importance of considering rare vascular and structural anomalies in neurological presentations.
  • Suggests that persistent trigeminal artery may be associated with a broader range of intracranial pathologies than previously recognized.
  • Contributes to the understanding of neurovascular malformations and their clinical associations.