A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm
The persistent primitive hypoglossal artery (PPHA) is the second most common persistent carotid–vertebrobasilar anastomosis, with an incidence of 0.027–0.26%. PPHAs change the hemodynamics of the carotid and vertebrobasilar system and may be associated with intracranial vascular anomalies, but basil...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-04-01
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| Series: | Frontiers in Neurology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fneur.2017.00168/full |
| _version_ | 1818929918958895104 |
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| author | Shu Wan Ming Wang Jun Gu Ping Lan Yongqing Zhou Xiujue Zheng Renya Zhan |
| author_facet | Shu Wan Ming Wang Jun Gu Ping Lan Yongqing Zhou Xiujue Zheng Renya Zhan |
| author_sort | Shu Wan |
| collection | DOAJ |
| description | The persistent primitive hypoglossal artery (PPHA) is the second most common persistent carotid–vertebrobasilar anastomosis, with an incidence of 0.027–0.26%. PPHAs change the hemodynamics of the carotid and vertebrobasilar system and may be associated with intracranial vascular anomalies, but basilar bifurcation aneurysms were rarely reported. We describe the first case of a PPHA as the sole supply to the brain associated with a basilar bifurcation aneurysm and review the literature. We reported a 34-year-old woman who presented with subarachnoid hemorrhage due to a ruptured basilar bifurcation aneurysm. Digital subtraction arteriogram revealed a right PPHA as the sole supply to the brain. The aneurysm was successfully clipped under intraoperative neurophysiology. |
| first_indexed | 2024-12-20T03:52:27Z |
| format | Article |
| id | doaj.art-3eb027a8e12a4492857978ccc0dbc19c |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-20T03:52:27Z |
| publishDate | 2017-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-3eb027a8e12a4492857978ccc0dbc19c2022-12-21T19:54:25ZengFrontiers Media S.A.Frontiers in Neurology1664-22952017-04-01810.3389/fneur.2017.00168252119A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation AneurysmShu Wan0Ming Wang1Jun Gu2Ping Lan3Yongqing Zhou4Xiujue Zheng5Renya Zhan6Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaThe persistent primitive hypoglossal artery (PPHA) is the second most common persistent carotid–vertebrobasilar anastomosis, with an incidence of 0.027–0.26%. PPHAs change the hemodynamics of the carotid and vertebrobasilar system and may be associated with intracranial vascular anomalies, but basilar bifurcation aneurysms were rarely reported. We describe the first case of a PPHA as the sole supply to the brain associated with a basilar bifurcation aneurysm and review the literature. We reported a 34-year-old woman who presented with subarachnoid hemorrhage due to a ruptured basilar bifurcation aneurysm. Digital subtraction arteriogram revealed a right PPHA as the sole supply to the brain. The aneurysm was successfully clipped under intraoperative neurophysiology.http://journal.frontiersin.org/article/10.3389/fneur.2017.00168/fullpersistent primitive hypoglossal arterybasilar bifurcationaneurysmclipintraoperative neurophysiologic monitoring |
| spellingShingle | Shu Wan Ming Wang Jun Gu Ping Lan Yongqing Zhou Xiujue Zheng Renya Zhan A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm Frontiers in Neurology persistent primitive hypoglossal artery basilar bifurcation aneurysm clip intraoperative neurophysiologic monitoring |
| title | A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm |
| title_full | A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm |
| title_fullStr | A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm |
| title_full_unstemmed | A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm |
| title_short | A Persistent Primitive Hypoglossal Artery As the Sole Supply to the Brain Associated with a Basilar Bifurcation Aneurysm |
| title_sort | persistent primitive hypoglossal artery as the sole supply to the brain associated with a basilar bifurcation aneurysm |
| topic | persistent primitive hypoglossal artery basilar bifurcation aneurysm clip intraoperative neurophysiologic monitoring |
| url | http://journal.frontiersin.org/article/10.3389/fneur.2017.00168/full |
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