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Transient Middle Cerebral Artery Occlusion Model of Stroke
Published on: August 11, 2023
Bilateral persistent trigeminal artery variants diagnosed by MR angiography.
1Department of Diagnostic Radiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, Japan. auchino@saitama-med.ac.jp
Cerebellum (London, England)
|May 6, 2011
Summary
Bilateral persistent trigeminal artery variants (PTAVs), a rare vascular anomaly, were identified using MR angiography. This case represents the first reported instance of this condition diagnosed via this imaging technique.
Area of Science:
- Neurology
- Vascular Neurology
- Medical Imaging
Background:
- The persistent trigeminal artery (PTA) is the most common connection between the carotid and vertebrobasilar systems.
- A persistent trigeminal artery variant (PTAV) is a rare anomaly where the cerebellar artery originates from the internal carotid artery (ICA) without connecting to the basilar artery (BA).
Observation:
- This report details the first case of bilateral PTAVs diagnosed using magnetic resonance (MR) angiography.
- An 81-year-old woman with small infarctions presented with bilateral anterior inferior cerebellar arteries arising from the precavernous ICA segment, lacking anastomosis with the BA.
Findings:
- MR angiography successfully identified bilateral PTAVs, a rare vascular anomaly.
- The estimated prevalence of bilateral PTAVs is approximately 0.0012%.
Implications:
- This case highlights the utility of MR angiography in diagnosing rare cerebrovascular anomalies.
- Understanding the embryology of PTAVs is crucial for accurate diagnosis and potential clinical management.
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