Trigeminal Neuralgia Caused by Persistent Primitive Trigeminal Artery

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چکیده

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Trigeminal Neuralgia Caused by Persistent Primitive Trigeminal Artery

A 66-year-old man presented with typical trigeminal neuralgia (TN). Magnetic resonance angiography (MRA) revealed a primitive trigeminal artery (PTA) that came into contact with the trigeminal nerve. Based on MRA, we performed microvascular decompression (MVD). In the operational field, we confirmed the PTA location and performed MVD successfully. Postoperatively, the patient's pain subsided wi...

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Resolution of trigeminal neuralgia by coil embolization of a persistent primitive trigeminal artery aneurysm.

The persistent primitive trigeminal artery (PTA) is a rare anastomosis between the carotid artery and basilar artery. While most PTAs are asymptomatic, lateral variants can occasionally compress the trigeminal nerve and precipitate trigeminal neuralgia. Aneurysms of the PTA are exceptionally rare in the literature and have not previously been associated with trigeminal neuralgia. We present the...

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Persistent primitive trigeminal artery: a review.

The trigeminal artery is the largest of the fetal carotid-basilar anastomotic arteries, and it persists for the longest embryonic period. The artery usually involutes after the development of the posterior communicating artery. The exact causes of persistence of this primitive vessel into adulthood are not completely clear. Angiographic and anatomical descriptions of the various persistent trig...

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Coil Embolization For Sixth Cranial Nerve Palsy Caused By Persistent Primitive Trigeminal Artery

The author reports on the case of a 60-year-old woman who presented with recurrent left sixth cranial nerve palsy. The patient was initially hospitalized to rule out an aneurysm of the internal carotid artery. Angiography revealed segmental dilation of the internal carotid artery and a persistent primitive trigeminal artery (PPTA) that coursed through the dorsolateral cavernous sinus, opening i...

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Persistent Primitive Trigeminal Artery That Mimics Persistent Primitive Otic Artery on Cerebral Angiography

Persistent primitive trigeminal artery (PPTA) is the most common carotid-basilar anastomosis; on the other hand, persistent primitive otic artery (PPOA) is extremely rare. PPTA is often misdiagnosed as PPOA on cerebral angiography. We present a case of PPTA that mimicked PPOA on cerebral angiography. We further describe the utility of brain computed tomography angiography for differential diagn...

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ژورنال

عنوان ژورنال: Journal of Korean Neurosurgical Society

سال: 2014

ISSN: 2005-3711,1598-7876

DOI: 10.3340/jkns.2014.56.3.278