Prevalence of cerebral aneurysms in patients with persistent primitive trigeminal artery

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  • 1 Departments of Radiology and Neurosurgery, Emory University, Atlanta, Georgia; Department of Radiology, North Shore University Hospital, Manhasset, New York; and Departments of Radiology and Neurosurgery, University of Virginia Health Sciences Center, Charlottesville, Virginia
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Object. The aim of this study was to determine the prevalence of cerebral saccular aneurysms in patients with persistent primitive trigeminal artery (PPTA). The prevalence of cerebral saccular aneurysms in patients with PPTA previously has been reported to be 14 to 32%, but this rate range is unreliable because it is based on collections of published case reports rather than a series of patients chosen in an unbiased manner.

Methods. The authors retrospectively evaluated their own series of 34 patients with PPTA to determine the prevalence of cerebral aneurysms in this population. The prevalence of intracranial aneurysms in patients with PPTA was approximately 3% (95% confidence interval 0–9%).

Conclusions. The prevalence of intracranial aneurysms in patients with PPTA is no greater than the prevalence of intracranial aneurysms in the general population.

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Contributor Notes

Address reprint requests to: Harry J. Cloft, M.D., Ph.D., Department of Radiology, Emory Hospital, 1364 Clifton Road NE, Atlanta, Georgia 30322. email: harry_cloft@emory.org.
  • 1.

    Agnoli AL: Vascular anomalies and subarachnoid haemorrhage associated with persisting embryonic vessels. Acta Neurochir 60:183199, 1982 Agnoli AL: Vascular anomalies and subarachnoid haemorrhage associated with persisting embryonic vessels. Acta Neurochir 60:183–199, 1982

    • Search Google Scholar
    • Export Citation
  • 2.

    Alleyne CH Jr, , Krisht A, & Yoo FK, et al: Bilateral persistent trigeminal arteries associated with cerebral aneurysms and aortic arch vessel anomaly. South Med J 90:434438, 1997 Alleyne CH Jr, Krisht A, Yoo FK, et al: Bilateral persistent trigeminal arteries associated with cerebral aneurysms and aortic arch vessel anomaly. South Med J 90:434–438, 1997

    • Search Google Scholar
    • Export Citation
  • 3.

    Brick JF, & Roberts T: Cerebral arteriovenous malformation coexistent with intracranial aneurysm and persistent trigeminal artery. South Med J 80:398400, 1987 Brick JF, Roberts T: Cerebral arteriovenous malformation coexistent with intracranial aneurysm and persistent trigeminal artery. South Med J 80:398–400, 1987

    • Search Google Scholar
    • Export Citation
  • 4.

    Cloft HJ, , Kallmes DF, & Kallmes MH, et al: Prevalence of cerebral aneurysms in patients with fibromuscular dysplasia: a reassessment. J Neurosurg 88:436440, 1998 Cloft HJ, Kallmes DF, Kallmes MH, et al: Prevalence of cerebral aneurysms in patients with fibromuscular dysplasia: a reassessment. J Neurosurg 88:436–440, 1998

    • Search Google Scholar
    • Export Citation
  • 5.

    George AE, , Lin JP, & Morantz RA: Intracranial aneurysm on a persistent primitive trigeminal artery. Case report. J Neurosurg 35:601604, 1971 George AE, Lin JP, Morantz RA: Intracranial aneurysm on a persistent primitive trigeminal artery. Case report. J Neurosurg 35:601–604, 1971

    • Search Google Scholar
    • Export Citation
  • 6.

    Iwata K, , Misu N, & Terada K, et al: Screening for unruptured asymptomatic intracranial aneurysms in patients undergoing coronary angiography. J Neurosurg 75:5255, 1991 Iwata K, Misu N, Terada K, et al: Screening for unruptured asymptomatic intracranial aneurysms in patients undergoing coronary angiography. J Neurosurg 75:52–55, 1991

    • Search Google Scholar
    • Export Citation
  • 7.

    Loevner L, & Quint DJ: Persistent trigeminal artery in a patient with Sturge-Weber syndrome. AJR 158:872874, 1992 Loevner L, Quint DJ: Persistent trigeminal artery in a patient with Sturge-Weber syndrome. AJR 158:872–874, 1992

    • Search Google Scholar
    • Export Citation
  • 8.

    Matsumura M, , Wada H, & Nojiri K: Persistent primitive trigeminal artery, cavum septi pellucidi, and associated cerebral aneurysm in a patient with polycystic kidney disease: case report. Neurosurgery 16:395397, 1985 Matsumura M, Wada H, Nojiri K: Persistent primitive trigeminal artery, cavum septi pellucidi, and associated cerebral aneurysm in a patient with polycystic kidney disease: case report. Neurosurgery 16:395–397, 1985

    • Search Google Scholar
    • Export Citation
  • 9.

    Morita A, , Fukushima T, & Miyazaki S, et al: Tic douloureux caused by primitive trigeminal artery or its variant. J Neurosurg 70:415419, 1989 Morita A, Fukushima T, Miyazaki S, et al: Tic douloureux caused by primitive trigeminal artery or its variant. J Neurosurg 70:415–419, 1989

    • Search Google Scholar
    • Export Citation
  • 10.

    Nakagawa T, & Hashi K: The incidence and treatment of asymptomatic, unruptured cerebral aneurysms. J Neurosurg 80:217223, 1994 Nakagawa T, Hashi K: The incidence and treatment of asymptomatic, unruptured cerebral aneurysms. J Neurosurg 80:217–223, 1994

    • Search Google Scholar
    • Export Citation
  • 11.

    Palmer S, & Gücer G: Vertebrobasilar insufficiency from carotid disease associated with a trigeminal artery. Neurosurgery 8:458461, 1981 Palmer S, Gücer G: Vertebrobasilar insufficiency from carotid disease associated with a trigeminal artery. Neurosurgery 8:458–461, 1981

    • Search Google Scholar
    • Export Citation
  • 12.

    Pascual-Castroviejo I: The association of extracranial and intracranial vascular malformations in children. Can J Neurol Sci 12:139148, 1985 Pascual-Castroviejo I: The association of extracranial and intracranial vascular malformations in children. Can J Neurol Sci 12:139–148, 1985

    • Search Google Scholar
    • Export Citation
  • 13.

    Rinkel GJE, , Djibuti M, & Algra A, et al: Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke 29:251256, 1998 Rinkel GJE, Djibuti M, Algra A, et al: Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke 29:251–256, 1998

    • Search Google Scholar
    • Export Citation
  • 14.

    Stoeter P, & Marquardt B: [Combined deformity of the brain and cerebral vessels (congenital hydrocephalus) in a 3-year-old: Dandy-Walker, arteria primitiva trigemina and hemangioma.] ROFO 128:680683, 1978 (Ger) Stoeter P, Marquardt B: [Combined deformity of the brain and cerebral vessels (congenital hydrocephalus) in a 3-year-old: Dandy-Walker, arteria primitiva trigemina and hemangioma.] ROFO 128:680–683, 1978 (Ger)

    • Search Google Scholar
    • Export Citation
  • 15.

    Suzuki S, , Morioka T, & Matsushima T, et al: Moyamoya disease associated with persistent primitive trigeminal artery variant in identical twins. Surg Neurol 45:23640, 1996 Suzuki S, Morioka T, Matsushima T, et al: Moyamoya disease associated with persistent primitive trigeminal artery variant in identical twins. Surg Neurol 45:236–40, 1996

    • Search Google Scholar
    • Export Citation
  • 16.

    Wollschlaeger G, & Wollschlaeger PB: The circle of Willis, in Newton TH, & Potts DG (eds): Radiology of the Skull and Brain. St. Louis: CV Mosby, 1974, Vol 2, pp 11951196 Wollschlaeger G, Wollschlaeger PB: The circle of Willis, in Newton TH, Potts DG (eds): Radiology of the Skull and Brain. St. Louis: CV Mosby, 1974, Vol 2, pp 1195–1196

    • Search Google Scholar
    • Export Citation

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