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Related Experiment Videos

Persistent trigeminal artery detected with standard MRI

R Silbergleit1, B A Mehta, R D Barnes

  • 1Department of Diagnostic Radiology and Medical Imaging, Henry Ford Hospital, Detroit, MI 48202.

Journal of Computer Assisted Tomography
|January 1, 1993
PubMed
Summary

Persistent trigeminal artery (PTA) is a common fetal remnant. Standard brain MRI effectively identifies PTA in most cases, with axial imaging offering the best visualization of its course.

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Area of Science:

  • Neuroanatomy
  • Vascular Neurology
  • Diagnostic Imaging

Background:

  • The trigeminal artery is the most frequent persistent primitive carotid-basilar anastomosis.
  • Historically, diagnosis of persistent trigeminal artery (PTA) relied solely on cerebral angiography.
  • Advancements in neuroimaging necessitate evaluating modern diagnostic modalities for PTA detection.

Purpose of the Study:

  • To compare the diagnostic accuracy of standard brain MRI with cerebral angiography for identifying persistent trigeminal artery.
  • To assess the effectiveness of MRI in detecting PTA in adult patients.

Main Methods:

  • Retrospective analysis of 11 patients diagnosed with persistent trigeminal artery.
  • Comparison of findings from standard brain MRI (including axial imaging) and cerebral angiography.

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  • Evaluation of image quality and diagnostic confidence for each modality.
  • Main Results:

    • Persistent trigeminal artery was identified in 9 out of 11 cases using standard brain MRI.
    • MRI demonstrated comparable diagnostic capability to angiography for PTA detection.
    • Axial MRI sequences provided superior definition of the anatomical course of the persistent trigeminal artery.

    Conclusions:

    • Standard brain MRI is a reliable and effective non-invasive method for diagnosing persistent trigeminal artery.
    • Axial imaging is crucial for optimal visualization and characterization of PTA on MRI.
    • MRI can replace or supplement angiography in the diagnostic workup of PTA.