Recurrent cerebral infarction in anterior and posterior circulation territories associated with persistent primitive hypoglossal artery and carotid artery dissection: a case report

Han, Jingzhe; Ji, Yiqin; Ma, Guomei; Kang, Zhilei

doi:10.1080/00207454.2017.1408617

Cited by 4 publications

(5 citation statements)

References 6 publications

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“… 9 Our patient presented with both anterior and posterior circulation symptoms, which has been reported by five previous authors. 4 , 10 , 11 , 12 , 13 …”

Section: Discussionmentioning

confidence: 99%

Endarterectomy of carotid artery bifurcation in the setting of a persistent hypoglossal artery and anomalous collateral vascular supply

Rockley

Ryan

Nagpal

2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Presented is a patient with carotid artery stenosis resulting in crescendo anterior and posterior circulation transient ischemic attacks. Treatment was complicated by a rare persistent hypoglossal artery (HGA) arising from the left internal carotid artery in addition to severe contralateral carotid disease, hypoplastic vertebral arteries, and incomplete circle of Willis. A carotid endarterectomy with shunting was performed, maintaining perfusion of both the proper left internal carotid artery and HGA. This is a rare case of carotid stenosis in the setting of a persistent HGA with contralateral carotid disease and highlights the importance of planning intracranial perfusion before carotid surgery.

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“… 9 Our patient presented with both anterior and posterior circulation symptoms, which has been reported by five previous authors. 4 , 10 , 11 , 12 , 13 …”

Section: Discussionmentioning

confidence: 99%

Endarterectomy of carotid artery bifurcation in the setting of a persistent hypoglossal artery and anomalous collateral vascular supply

Rockley

Ryan

Nagpal

2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…Simultaneous anterior and posterior circulation infarctions associated with carotid atherosclerosis and PHA is rare. To date, only 5 such cases, including the present case, have been reported in the English-language literature (Table 1 ) ( 3 – 5 , 9 ). It is worth noting that most patients had bilateral hypoplastic vertebral arteries.…”

Section: Discussionmentioning

confidence: 91%

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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“…An especially noteworthy consequence of PPHA is the occurrence of simultaneous anterior and posterior circulation infarctions in conjunction with carotid atherosclerosis. While this occurrence is infrequent, a limited number of cases have been documented in the existing literature (6).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, in patients with PPHA, there is a rare occurrence of simultaneous embolic infarcts in both the anterior and posterior circulation. Additionally, a PPHA and carotid artery dissection can be associated with recurrent cerebral infarction in both the anterior and posterior circulation (5,6).…”

Section: Introductionmentioning

confidence: 99%

Case report: Navigating the challenges: successful mechanical thrombectomy in a case of persistent primitive hypoglossal artery

Khan,

Lutfi,

Shah

et al. 2023

Front. Neurol.

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Persistent primitive hypoglossal artery (PPHA) is a highly uncommon abnormal connection between the internal carotid artery (ICA) and vertebral artery (VA), with reported incidences ranging from 0.027 to 0.26%. Attempting endovascular intervention in such cases presents a considerable challenge as it carries a higher risk of embolization and other procedure-related complications that may affect a wide area of the brain. We present a case study involving the utilization of mechanical thrombectomy (MT) to treat an ischemic stroke in the M1 segment of the middle cerebral artery (MCA) despite the presence of PPHA. Performing mechanical thrombectomy in an anomalous vascular connection is feasible; however, it necessitates heightened vigilance, thorough knowledge of the anatomy, and utmost caution.

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Recurrent cerebral infarction in anterior and posterior circulation territories associated with persistent primitive hypoglossal artery and carotid artery dissection: a case report

Cited by 4 publications

References 6 publications

Endarterectomy of carotid artery bifurcation in the setting of a persistent hypoglossal artery and anomalous collateral vascular supply

Endarterectomy of carotid artery bifurcation in the setting of a persistent hypoglossal artery and anomalous collateral vascular supply

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

Case report: Navigating the challenges: successful mechanical thrombectomy in a case of persistent primitive hypoglossal artery

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