Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts
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,...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-10-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2018.00837/full |
| _version_ | 1818512769059651584 |
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| author | Xingyi Jin Libo Sun Zheng Feng Xiaodong Li Hongyan Zhang Ke Meng Weidong Yu Chao Fu |
| author_facet | Xingyi Jin Libo Sun Zheng Feng Xiaodong Li Hongyan Zhang Ke Meng Weidong Yu Chao Fu |
| author_sort | Xingyi Jin |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T23:51:41Z |
| format | Article |
| id | doaj.art-d5d54ea7e8c6444cba888dbe0d092b48 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-10T23:51:41Z |
| publishDate | 2018-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-d5d54ea7e8c6444cba888dbe0d092b482022-12-22T01:28:45ZengFrontiers Media S.A.Frontiers in Neurology1664-22952018-10-01910.3389/fneur.2018.00837415555Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar InfarctsXingyi Jin0Libo Sun1Zheng Feng2Xiaodong Li3Hongyan Zhang4Ke Meng5Weidong Yu6Chao Fu7Department of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Pediatrics, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Neurosurgery, Siping Central People's Hospital, Siping, ChinaDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, ChinaPersistent 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.https://www.frontiersin.org/article/10.3389/fneur.2018.00837/fullpersistent hypoglossal arterycarotid arteryvertebrobasilar arteryatherosclerosisischemiarisk factor |
| spellingShingle | Xingyi Jin Libo Sun Zheng Feng Xiaodong Li Hongyan Zhang Ke Meng Weidong Yu Chao Fu Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts Frontiers in Neurology persistent hypoglossal artery carotid artery vertebrobasilar artery atherosclerosis ischemia risk factor |
| title | Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts |
| title_full | Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts |
| title_fullStr | Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts |
| title_full_unstemmed | Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts |
| title_short | Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts |
| title_sort | persistent hypoglossal artery as a potential risk factor for simultaneous carotid and vertebrobasilar infarcts |
| topic | persistent hypoglossal artery carotid artery vertebrobasilar artery atherosclerosis ischemia risk factor |
| url | https://www.frontiersin.org/article/10.3389/fneur.2018.00837/full |
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