Primitive trigeminal artery as a rare cause of trigeminal neuralgia

Fu, Chao; Li, Dongyuan; Sun, Libo; Hu, Zhenzhen; Yu, Weidong

doi:10.1024/0301-1526/a000420

Cited by 8 publications

(7 citation statements)

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“…1,3,5,14 We conducted a thorough literature review of neurovascular compression associated with VBD, and found that the trigeminal and facial nerves are more prone to be commonly involved; abducens nerve palsy resulting from VBD-related compression is relatively rare. 6,7,17,18 It is notable that multiple cranial nerve involvement in patients with VBD is rarely reported. [7][8][9] Madhugiri et al 8 described a patient with diplopia owing to a left abduction deficit, together with ipsilateral facial pain and facial muscle twitches, attributed to compression of the abducens, trigeminal and facial nerves caused by VBD, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] In the majority of the reported cases, the facial and trigeminal nerves are more susceptible to be involved, resulting in hemifacial spasm and trigeminal neuralgia, respectively. 6,7 In contrast, abducens, trochlear, vestibular, glossopharyngeal or vagus nerve impairment caused by neurovascular compression of VBD is uncommon. [7][8][9][10][11][12] Notably, multiple cranial nerve involvement in patients with VBD is extremely rare.…”

Section: Introductionmentioning

confidence: 99%

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<p>Vertebrobasilar Dolichoectasia as a Rare Cause of Simultaneous Abducens and Vestibulocochlear Nerve Symptoms: A Case Report and Literature Review</p>

Zang¹,

Zhao²,

Qiao³

et al. 2020

IJGM

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Vertebrobasilar dolichoectasia (VBD) can lead to cranial nerve symptoms. However, multiple cranial nerve symptoms associated with VBD in one case remain extremely rare. We here present the case of a 33-year-old male with VBD diagnosed by multimodality imaging, who developed simultaneous abducens and vestibulocochlear nerve symptoms and subsequently improved after blood pressure control treatment. To our knowledge, this is the first report of such a vascular disorder resulting in simultaneous symptoms of the abducens and vestibulocochlear nerves. This study highlights that such a vascular anomaly should be considered when cranial nerve symptom is encountered, especially when multiple cranial nerves involved. Meanwhile, radiological evalurrrrrrrrrrrrrrrrrrration of such neurovascular conflict using three-dimensional constructive interference in steady-state imaging is recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Vertebrobasilar Dolichoectasia as a Rare Cause of Simultaneous Abducens and Vestibulocochlear Nerve Symptoms: A Case Report and Literature Review</p>

Zang¹,

Zhao²,

Qiao³

et al. 2020

IJGM

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“…PHA is the second most common persistent embryological carotid-vertebrobasilar anastomosis (0.03–0.09%), after persistent trigeminal artery (0.1–0.6%) ( 1 , 6 ). Numerous associated anomalies have been reported with PHA such as cerebral ischemia, cerebral aneurysm, arteriovenous malformation, and moyamoya disease ( 1 – 8 ).…”

Section: Discussionmentioning

confidence: 99%

Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts

et al. 2018

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Persistent hypoglossal artery (PHA), a rare embryological carotid–basilar anastomosis, is usually accompanied by hypoplastic vertebral and posterior communicating arteries, and thereby such vascular anomaly serves as the main feeder supplying the vertebrobasilar territory. Although rarely reported, simultaneous anterior and posterior territory infarcts related to PHA and carotid atherosclerosis can occur. To date, as far as we know, only 4 such cases have been previously reported in the literature. Here, we present the case of a 65-year-old female with a PHA and carotid atherosclerotic plaques, who developed acute multiterritorial infarcts involving the left carotid and vertebrobasilar territories. This case highlights that such a persistent anastomosis should be considered when multiple infarcts involving the anterior and posterior territories are encountered, and should be kept in mind when dealing with carotid atherosclerotic lesion.

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“… 3 The second most common is the PHA, with an incidence ranging from 0.027 to 0.29%. 4,5 The PIA and POA are extremely rare. We report a case of bilateral type II PIA found incidentally on head-neck MR angiography examination imaging.…”

Section: Introductionmentioning

confidence: 99%

Bilateral type IIpersistent proatlantal intersegmental artery: a rare variant of persistent carotid-vertebrobasilar anastomoses

Fang

Zhang

2022

BJR|case reports

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The persistent proatlantal intersegmental artery is a rare variant of persistent carotid-vertebrobasilar anastomoses, especially their bilateral presence is rarer. We report a case of bilateral typeII persistent proatlantal intersegmental artery. The absence of bilateral vertebral arteries was incidentally noted on neck ultrasound examination. Subsequent time-of-flight MR angiography confirmed this. The bilateral typeIIpersistent proatlantal intersegmental artery arose from the cervical external carotid artery, penetrated the C1 transverse foramen, entered the skull via the foramen magnum, and joined the lower portion of the basilar artery.

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Primitive trigeminal artery as a rare cause of trigeminal neuralgia

Cited by 8 publications

References 0 publications

<p>Vertebrobasilar Dolichoectasia as a Rare Cause of Simultaneous Abducens and Vestibulocochlear Nerve Symptoms: A Case Report and Literature Review</p>

<p>Vertebrobasilar Dolichoectasia as a Rare Cause of Simultaneous Abducens and Vestibulocochlear Nerve Symptoms: A Case Report and Literature Review</p>

Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts

Bilateral type IIpersistent proatlantal intersegmental artery: a rare variant of persistent carotid-vertebrobasilar anastomoses

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