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与重复基底动脉相关的持续性原始三叉动脉的新变体:影像学病例报告。

New variant of persistent primitive trigeminal artery associated with duplicated basilar artery: a radiological case report.

机构信息

Faculty of Medicine of Oran, University of Oran 1 Ahmed Ben Bella, BP 1510 El'Mnaouer, 31000, Oran, Algeria.

出版信息

Surg Radiol Anat. 2023 Mar;45(3):321-326. doi: 10.1007/s00276-023-03082-2. Epub 2023 Jan 19.

DOI:10.1007/s00276-023-03082-2
PMID:36656340
Abstract

PURPOSE

This article reports a new variant of the persistent primitive trigeminal artery. This variant does not exist in Salas and Saltzman classifications.

METHODS

We analyzed CTA images of a 39-year-old male patient using RadiAnt. This work had clinical and research purposes.

RESULTS

A persistent primitive trigeminal artery arose from left internal carotid artery termination. Its course was atypical, superior, and lateral to the sella turcica. At its end, it joined a duplicated basilar artery. These morphological features are new compared to Salas and Saltzman's variants.

CONCLUSION

Anatomists, radiologists, and neurosurgeons must know this new variant. Angiographic analysis of this variant will keep the patient safe and perform the surgery. This new variant deserves to be considered in Salas and Saltzman classifications as a new type.

摘要

目的

本文报道了一种新的永存原始三叉动脉变异。这种变异并不存在于 Salas 和 Saltzman 的分类中。

方法

我们使用 RadiAnt 分析了一名 39 岁男性患者的 CTA 图像。这项工作具有临床和研究目的。

结果

永存原始三叉动脉发自左侧颈内动脉终末段。其走行异常,位于鞍上、上方和外侧。在其末端,它与一个复制的基底动脉相连。与 Salas 和 Saltzman 的变异相比,这些形态特征是新的。

结论

解剖学家、放射科医生和神经外科医生必须了解这种新的变异。对这种变异进行血管造影分析可以确保患者的安全并进行手术。这种新的变异值得在 Salas 和 Saltzman 的分类中被视为一种新的类型。

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Surg Radiol Anat. 2023 Mar;45(3):321-326. doi: 10.1007/s00276-023-03082-2. Epub 2023 Jan 19.
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本文引用的文献

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Persistent primitive trigeminal artery associated with a cavernous carotid aneurysm. Case report and literature review.持续性原始三叉动脉伴海绵窦段颈动脉瘤。病例报告及文献复习。
J Radiol Case Rep. 2018 Nov 30;12(11):1-11. doi: 10.3941/jrcr.v12i11.3500. eCollection 2018 Nov.
2
Persistent Trigeminal Artery in Endonasal Resection of Skull Base Tumors: A Systematic Review.经鼻入路切除颅底肿瘤时的持续性三叉动脉:一项系统评价
J Neurol Surg B Skull Base. 2016 Dec;77(6):449-455. doi: 10.1055/s-0036-1581066. Epub 2016 Mar 31.
3
A Functional Perspective on the Embryology and Anatomy of the Cerebral Blood Supply.
从功能角度看脑血液供应的胚胎学和解剖学
J Stroke. 2015 May;17(2):144-58. doi: 10.5853/jos.2015.17.2.144. Epub 2015 May 29.
4
Anatomical features and clinical relevance of a persistent trigeminal artery.持续性三叉动脉的解剖学特征及临床意义
Surg Neurol Int. 2012;3:111. doi: 10.4103/2152-7806.101798. Epub 2012 Sep 28.
5
Persistent primitive trigeminal artery: a review.持续性原始三叉动脉:综述
Turk Neurosurg. 2012;22(4):399-406. doi: 10.5137/1019-5149.JTN.4427-11.1.