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舌下动脉持续存在：病例报告。

Persistence of a hypoglossal artery: Case report.

作者信息

AlQarni Abdullah Ali, AlOtibi Talal, Mahnashi Yahya, Alawad Abdullah, Aldawsari Waleed Mohammed

机构信息

Department of Medicine, University of Bisha, Bisha, Saudi Arabia.

King Salman hospital, Riyadh, Saudi Arabia.

出版信息

Radiol Case Rep. 2024 Mar 29;19(6):2464-2466. doi: 10.1016/j.radcr.2024.02.089. eCollection 2024 Jun.

DOI:10.1016/j.radcr.2024.02.089
PMID:38585409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10998052/
Abstract

Persistent primitive hypoglossal artery (PPHA) is a rare embryological carotid-basilar anastomosis. Diagnosis is by imaging and computed tomography angiography is the most common methods employed. Herein we present a case of a 51 years-old Indian male, who admitted with midnight nonwitnessed syncope. CT angiogram of the brain revealed a very rare caroto-basilar anastomoses anomaly with PPHA.

摘要

永存原始舌下动脉（PPHA）是一种罕见的胚胎期颈动脉-基底动脉吻合。诊断依靠影像学检查，计算机断层扫描血管造影是最常用的方法。在此，我们报告一例51岁印度男性病例，该患者因半夜无人见证的晕厥入院。脑部CT血管造影显示存在一种非常罕见的伴有PPHA的颈动脉-基底动脉吻合异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be35/10998052/ce8f9d193b43/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be35/10998052/2770e6ec1b58/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be35/10998052/697141d93688/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be35/10998052/ce8f9d193b43/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be35/10998052/2770e6ec1b58/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be35/10998052/697141d93688/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be35/10998052/ce8f9d193b43/gr3.jpg

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本文引用的文献

1
Type 2 persistent primitive proatlantal intersegmental artery, a rare variant of persistent carotid-vertebrobasilar anastomoses.2型持续性原始前寰椎间节段动脉，一种罕见的持续性颈动脉-椎基底动脉吻合变异。
Proc (Bayl Univ Med Cent). 2019 Jan 24;32(1):101-104. doi: 10.1080/08998280.2018.1533312. eCollection 2019 Jan.
2
Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts.永存舌下动脉作为同时发生颈动脉和椎基底动脉梗死的潜在危险因素。
Front Neurol. 2018 Oct 11;9:837. doi: 10.3389/fneur.2018.00837. eCollection 2018.
3
Basilar stroke from a persistent hypoglossal artery.
源自持续性舌下动脉的基底动脉卒中。
BMJ Case Rep. 2017 Jan 27;2017:bcr2016012859. doi: 10.1136/bcr-2016-012859.
4
Persistent primitive hypoglossal artery and fenestration of posterior cerebral artery: CT and MR angiography.持续性原始舌下动脉及大脑后动脉开窗畸形：CT与磁共振血管造影
Neurocirugia (Astur). 2009 Dec;20(6):563-6; discussion 566. doi: 10.1016/s1130-1473(09)70137-x.
5
Ruptured aneurysm of a persistent primitive hypoglossal artery treated by endovascular approach--case report and literature review.
Surg Neurol. 2007 Sep;68(3):338-43; discussion 343. doi: 10.1016/j.surneu.2006.10.053.
6
Clinical outcomes following cervical laminoplasty for 204 patients with cervical spondylotic myelopathy.204例脊髓型颈椎病患者行颈椎椎板成形术后的临床疗效。
Surg Neurol. 2004 Dec;62(6):487-92; discussion 492-3. doi: 10.1016/j.surneu.2004.02.040.
7
Angiographic documentation of a persistent otic artery.永存耳动脉的血管造影记录。
AJNR Am J Neuroradiol. 2003 Jan;24(1):124-6.
8
Isolated stenosis of a persistent hypoglossal artery visualized at 3D CT angiography.在三维CT血管造影中显示的孤立性舌下动脉狭窄。
AJNR Am J Neuroradiol. 2001 Sep;22(8):1613-4.
9
The persistent fetal carotid-vertebrobasilar anastomoses.
AJR Am J Roentgenol. 1999 May;172(5):1427-32. doi: 10.2214/ajr.172.5.10227532.
10
Unilateral hypoglossal nerve palsy due to aneurysm of the stump of persistent hypoglossal artery.持续性舌下动脉残端动脉瘤导致的单侧舌下神经麻痹。
J Neurol Neurosurg Psychiatry. 1998 Mar;64(3):405. doi: 10.1136/jnnp.64.3.405.