Avcu Serhat, van der Schaaf Irene, Ozcan Hatice Nursun, Sengul Ilker, Fransen Hendrik
Department of Radiology, AZ Sint-Lucas Hospital, 9000 Gent, Belgium.
Cases J. 2009 Jul 24;2:8571. doi: 10.4076/1757-1626-2-8571.
A 73-year-old woman with a history of chronic hypertension admitted to our clinic with complaint of acute paresis in her left arm. Computed tomography and magnetic resonance imaging were performed to the patient which displayed intracerebral hemorrhage in the right parieto-occipital lobe. Further review of the computed tomography and magnetic resonance imaging scan showed an enlarged left hypoglossal canal with a large vessel passing through it. The patient was thereafter examined with cerebral digital subtraction angiography to determine the cause of hemorrhage, but no vascular etiology was demonstrated, except from a persistent hypoglossal artery. We present a rare case of persistent hypoglossal artery, which we detected incidentally during angiographic evaluation, with a review of the literature.
一名73岁有慢性高血压病史的女性因左臂急性麻痹症状前来我院就诊。对该患者进行了计算机断层扫描和磁共振成像检查，结果显示右侧顶枕叶脑出血。进一步复查计算机断层扫描和磁共振成像扫描发现左侧舌下神经管增粗，有一大血管通过。此后对该患者进行了脑数字减影血管造影检查以确定出血原因，除了发现一条永存舌下动脉外，未发现血管病因。我们报告了一例在血管造影评估中偶然发现的永存舌下动脉罕见病例，并对相关文献进行了综述。
