Jovanović Igor B, Samardzić Miroslav, Nagulić Mirjana, Bascarević Vladimir, Mićović Mirko, Milosević Svetlana
Klinicki centar Srbije, *Institut za neurohirurgiju, Centar za radiologiju i magnetnu rezonanciju, Beograd, Srbija.
Vojnosanit Pregl. 2011 Aug;68(8):699-704. doi: 10.2298/vsp1108699j.
Persistence of fetal cerebral carotid basilar anastomoses is rare. When it occurs, it is often associated with other vascular malformations, and other pathological conditions. Trigeminal primitive artery persistence is the most often among them. Coincidence of primitive trigeminal artery with cerebellar arteriovenous malformation is extremely rare.
We reported a case of a 31-year-old woman with subarachnoid hemorrhage and cerebellar hematoma admitted in serious condition. Angiography demonstrated cerebellar arteriovenous malformation, primitive trigeminal artery and other malformation of Willis circle. After a complete surgical removal of arteriovenous malformation the patient was discharged without neurological or any other deficit.
We reported an extremely rare condition, which had been reported very few times in the literature. The importance of primitive artery persistence is in changed anatomical and physiological condition of cerebral circulation, that is especially important in surgical procedures.
胎儿脑颈动脉基底吻合的持续存在极为罕见。当其出现时，常与其他血管畸形及其他病理状况相关。三叉神经原始动脉持续存在是其中最常见的情况。原始三叉神经动脉与小脑动静脉畸形同时存在极为罕见。
我们报告了一例31岁女性，因蛛网膜下腔出血和小脑血肿入院，病情严重。血管造影显示小脑动静脉畸形、原始三叉神经动脉及Willis环的其他畸形。在完全手术切除动静脉畸形后，患者出院，无神经功能或其他缺陷。
我们报告了一种极为罕见的情况，文献中对此报道极少。原始动脉持续存在的重要性在于脑循环解剖和生理状况的改变，这在手术过程中尤为重要。
