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[The persistent trigeminal artery in vascular brain diseases]

Iu M Filatov, Sh Sh Eliava, S P Zolotukhin

    Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
    |August 28, 1998
    PubMed
    Summary

    Persistent trigeminal artery (PTA) frequently co-occurs with cerebrovascular diseases like aneurysms and transient ischemic attacks. Understanding these associations is crucial for diagnosis and surgical planning.

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    Area of Science:

    • Neurology
    • Vascular Neurology
    • Neuroimaging

    Background:

    • The persistent trigeminal artery (PTA) is a rare fetal variant of the Circle of Willis.
    • Its association with cerebrovascular diseases requires further investigation.

    Purpose of the Study:

    • To describe clinical features and hemodynamic variants of PTA in patients with cerebrovascular diseases.
    • To discuss diagnostic and surgical management strategies for PTA combined with other vascular pathologies.

    Main Methods:

    • Retrospective case series analysis of 12 patients with PTA.
    • Review of clinical data, imaging findings, and treatment outcomes.

    Main Results:

    • PTA was found in conjunction with cerebral aneurysms (7 cases), subarachnoid hemorrhage (SAH) of unknown origin (2 cases), transient ischemic attacks (2 cases), and arteriovenous malformation (1 case).

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  • Clinical presentations and hemodynamic patterns associated with PTA were detailed.

    • Conclusions:

    • PTA is often associated with significant cerebrovascular pathologies, including aneurysms and SAH.
    • Multidisciplinary approaches are essential for managing these complex cases.