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Updated: Apr 3, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Unusual persistent primitive trigeminal artery with a superior duplicated basilar system
Laila Malani Mohammad1, Andrew Phillip Carlson2
1Department of Neurosurgery, The University of New Mexico, 1 University of New Mexico, Albuquerque, NM, 87131, USA. LMoham@salud.unm.edu.
Abstract:
A 67-year-old patient who presented with a right cerebellar hemorrhage underwent vascular workup for suspicion of underlying vascular anomalies. A diagnostic cerebral angiogram demonstrated a duplicated basilar system fed solely by a persistent primitive trigeminal artery. The findings proved to be incidental and unrelated to the patient's hemorrhage. These developmental abnormalities are consistent with embryological development.
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