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Published on: September 20, 2015
Bilateral persistent hypoglossal arteries: MRI findings
H Takahashi1, H Tanaka, N Fujita
1Department of Radiology, Osaka University Graduate School of Medicine, Osaka, Japan. h-takahashi@radiol.med.osaka-u.ac.jp
Bilateral persistent hypoglossal arteries, rare fetal connections, were identified alongside absent vertebral arteries. This case highlights unusual cerebral vasculature and aids understanding of vascular development.
Area of Science:
- Neurology
- Vascular Anatomy
- Embryology
Background:
- Fetal anastomoses between carotid and vertebrobasilar systems are known.
- Bilateral occurrence of these fetal connections is exceptionally rare.
Observation:
- A case study identified the incidental absence of bilateral vertebral arteries during a neck ultrasound.
- Further investigation using MRI confirmed the absence of vertebral arteries.
Findings:
- The study confirmed the presence of bilateral persistent hypoglossal arteries.
- These arteries originated from the cervical internal carotid arteries bilaterally.
- They entered the cranium via the hypoglossal canal, connecting to the basilar artery.
Implications:
- This case contributes to the understanding of rare cerebral vascular anomalies.
- It underscores the importance of recognizing variations in fetal cerebrovascular patterns.
- Such findings can inform diagnostic approaches for related neurological conditions.
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