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Diagnosis of persistent primitive olfactory artery using computed tomography angiography
1Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Journal of Korean Neurosurgical Society
|July 1, 2011
Summary
A rare persistent primitive olfactory artery (PPOA) was incidentally found in a patient with vertigo. Computed tomography angiography is valuable for detecting this rare anterior cerebral artery anomaly.
Area of Science:
- Neuroscience
- Vascular Anatomy
- Radiology
Background:
- Persistent primitive olfactory artery (PPOA) is a rare anatomical variation of the anterior cerebral artery.
- Vascular anomalies can present with diverse neurological symptoms or be incidentally discovered.
- Accurate identification of PPOA is crucial for understanding potential associated pathologies.
Observation:
- A 24-year-old woman presented with sudden onset vertigo.
- Computed tomography (CT) angiography revealed a PPOA originating from the terminal right internal carotid artery.
Findings:
- The anomalous artery exhibited a characteristic hairpin turn.
- CT angiography proved effective in identifying this rare PPOA.
Implications:
- PPOA can be easily overlooked due to its rarity.
- CT angiography is a valuable tool for diagnosing PPOA.
- Further monitoring is recommended to assess for potential aneurysm formation.
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