Primitive trigeminal artery variant associated with intracranial ruptured aneurysm and cerebral arteriovenous malformation--case report

Neurol Med Chir (Tokyo). 1994 Feb;34(2):104-7. doi: 10.2176/nmc.34.104.

Abstract

A 48-year-old female presented with a unique combination of ruptured aneurysm of the right middle cerebral artery (MCA) manifesting as sudden loss of consciousness associated with arteriovenous malformation (AVM) in the right parietal lobe and left primitive trigeminal artery (PTA) variant. Angiography revealed the right MCA aneurysm, AVM fed by the right anterior cerebral artery and MCA, and contralateral PTA variant. The PTA variant was an anomalous posterior cerebral artery originating from the ipsilateral cavernous internal carotid artery. The neck of the aneurysm was successfully clipped and the AVM was totally removed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm, Ruptured / diagnostic imaging*
  • Aneurysm, Ruptured / surgery
  • Carotid Artery, Internal / abnormalities*
  • Carotid Artery, Internal / diagnostic imaging
  • Cerebral Angiography
  • Female
  • Humans
  • Intracranial Aneurysm / diagnostic imaging*
  • Intracranial Aneurysm / surgery
  • Intracranial Arteriovenous Malformations / diagnostic imaging*
  • Intracranial Arteriovenous Malformations / surgery
  • Middle Aged
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / surgery
  • Tomography, X-Ray Computed