Advertisement

Acta Neurochirurgica

, Volume 161, Issue 2, pp 407–411 | Cite as

Endovascular treatment for unruptured aneurysm associated with persistent primitive trigeminal artery: a case report and literature review

  • Satoshi Murai
  • Kenji SugiuEmail author
  • Tomohito Hishikawa
  • Masafumi Hiramatsu
  • Shingo Nishihiro
  • Naoya Kidani
  • Yu Takahashi
  • Isao Date
Case Report - Vascular Neurosurgery - Aneurysm
  • 38 Downloads
Part of the following topical collections:
  1. Vascular Neurosurgery – Aneurysm

Abstract

The persistent primitive trigeminal artery (PPTA) is the most common carotid-basilar anastomosis, and the incidence of cerebral aneurysms associated with the PPTA is approximately 4%. Since PPTA aneurysms often have a wide neck and other vascular anomalies, endovascular treatment using an adjunctive technique is the current first-line therapy. Here, we report a case of PPTA aneurysm treated by coil embolization with a stent-assisted technique. A detailed evaluation of the size and course of all vessels and collateral flow, including the Allcock test and balloon test occlusion, is necessary when deciding on the treatment strategy.

Keywords

Persistent primitive trigeminal artery Cerebral aneurysm Coil embolization Stent-assisted technique Balloon test occlusion 

Notes

Compliance with ethical standards

All patients consented to publication of this case report.

Conflict of interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Aguiar GB, Conti ML, Veiga JC, Jory M, Souza RB (2011) Basilar artery aneurysm at a persistent trigeminal artery junction. A case report and literature review. Interv Neuroradiol 17:343–346CrossRefGoogle Scholar
  2. 2.
    Ajeet G, John D (2016) Dual stent-assisted coil embolization for fusiform aneurysm arising from persistent trigeminal artery. Neurointervention 11:131–134CrossRefGoogle Scholar
  3. 3.
    Cloft HJ, Razack N, Kallmes DF (1999) Prevalence of cerebral aneurysms in patients with persistent primitive trigeminal artery. J Neurosurg 90:865–867CrossRefGoogle Scholar
  4. 4.
    George AE, Lin JP, Morantz RA (1971) Intracranial aneurysm on a persistent primitive trigeminal artery. Case report. J Neurosurg 35:601–604CrossRefGoogle Scholar
  5. 5.
    Kai Y, Ohmori Y, Watanabe M, Morioka M, Hirano T, Kawano T, Sakurama T, Miura A, Kuratsu J (2011) Coil embolization of an aneurysm located at the trunk of the persistent primitive trigeminal artery. Neurol Med Chir (Tokyo) 51:361–364CrossRefGoogle Scholar
  6. 6.
    Ladner TR, Ehtesham M, Davis BJ, Khan IS, Ghiassi M, Ghiassi M, Singer RJ (2014) Resolution of trigeminal neuralgia by coil embolization of a persistent primitive trigeminal artery aneurysm. J Neurointerv Surg 6:e22CrossRefGoogle Scholar
  7. 7.
    Li MH, Li WB, Pan YP, Fang C, Wang W (2004) Persistent primitive trigeminal artery associated with aneurysm: report of two cases and review of the literature. Acta Radiol 45:664–668CrossRefGoogle Scholar
  8. 8.
    Meckel S, Spittau B, McAuliffe W (2013) The persistent trigeminal artery: development, imaging anatomy, variants, and associated vascular pathologies. Neuroradiology 55:5–16CrossRefGoogle Scholar
  9. 9.
    Mohammed M, Sandhu JS, Wakhloo AK (2002) Stent-assisted coil placement in a wide-necked persistent trigeminal artery aneurysm with jailing of the trigeminal artery: a case report. AJNR Am J Neuroradiol 23:437–441Google Scholar
  10. 10.
    Ohshiro S, Inoue T, Hamada Y, Matsuno H (1993) Branches of the persistent primitive trigeminal artery—an autopsy case. Neurosurgery 32:144–148CrossRefGoogle Scholar
  11. 11.
    Onizuka M, Kazekawa K, Tsutsumi M, Kodama T, Aikawa H, Ikou M, Tomokiyo M, Matsubara S, Nii K, Tanaka A (2006) Hyperform remodeling balloon for the balloon occlusion test of persistent primitive trigeminal artery aneurysm—case report. Neurol Med Chir (Tokyo) 46:541–543CrossRefGoogle Scholar
  12. 12.
    O’uchi E, O’uchi T (2010) Persistent primitive trigeminal arteries (PTA) and its variant (PTAV): analysis of 103 cases detected in 16,415 cases of MRA over 3 years. Neuroradiology 52:1111–1119CrossRefGoogle Scholar
  13. 13.
    Sherkat S, Gazzeri R, Pantoli D, Fiume D, Tancredi A, Gazzeri G (2008) Endovascular treatment of primitive persistent trigeminal artery aneurysm associated with middle cerebral artery aneurysm. Minim Invasive Neurosurg 51:218–221CrossRefGoogle Scholar
  14. 14.
    Vasović L, Jovanović I, Ugrenović S, Vlajković S, Jovanović P, Stojanović V (2012) Trigeminal artery: a review of normal and pathological features. Childs Nerv Syst 28:33–46CrossRefGoogle Scholar
  15. 15.
    Yoshida M, Ezura M, Mino M (2011) Carotid-cavernous fistula caused by rupture of persistent primitive trigeminal artery trunk aneurysm—case report. Neurol Med Chir (Tokyo) 51:507–511CrossRefGoogle Scholar
  16. 16.
    Zhao QP, Li TL, Duan CZ, Chen GZ (2005) Combined neuroform intracranial stent and bioactive matrix detachable coil for embolization of a broad-necked persistent primitive trigeminal artery aneurysm. A case report. Interv Neuroradiol 11:63–68CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Satoshi Murai
    • 1
  • Kenji Sugiu
    • 1
    Email author
  • Tomohito Hishikawa
    • 1
  • Masafumi Hiramatsu
    • 1
  • Shingo Nishihiro
    • 1
  • Naoya Kidani
    • 1
  • Yu Takahashi
    • 1
  • Isao Date
    • 1
  1. 1.Department of Neurological SurgeryOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesOkayamaJapan

Personalised recommendations