- Neurology and Neurosurgery Institute, Zambrano Hellion Hospital, Tecnologico de Monterrey, San Pedro Garza Garcia, Mexico
Hector Ramon Martinez-Rodriguez
Neurology and Neurosurgery Institute, Zambrano Hellion Hospital, Tecnologico de Monterrey, San Pedro Garza Garcia, Mexico
DOI:10.4103/sni.sni_395_18Copyright: © 2019 Surgical Neurology International This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
How to cite this article: Figueroa-Sanchez JA, Ferrigno AS, Martinez-Rodriguez HR. Multiple aneurysms, aortic coarctation, and persistent trigeminal artery. A unique presentation. Surg Neurol Int 18-Jan-2019;10:6
How to cite this URL: Figueroa-Sanchez JA, Ferrigno AS, Martinez-Rodriguez HR. Multiple aneurysms, aortic coarctation, and persistent trigeminal artery. A unique presentation. Surg Neurol Int 18-Jan-2019;10:6. Available from: http://surgicalneurologyint.com/surgicalint-articles/9164/
A 47-year-old Hispanic man was evaluated at the emergency room due to the sudden onset of severe headache and nuchal rigidity. Unenhanced head computed tomography (CT) revealed subarachnoid hemorrhage (Fisher II) and CT angiography showed multiple aneurysms located in the anterior communicating artery (ACoA), probably responsible for the origin of the bleeding, as well as the M1 segment and bifurcation of the right middle cerebral artery (MCA). Digital subtraction angiography (DSA) and thoracic CT angiography revealed a persistent trigeminal artery (PTA) Saltzman Type 1 and coarctation of the aorta artery (CoA) with significant dilatation of transverse cervical and suprascapular arteries [
Digital subtraction angiography shows (a) multiple aneurysms in anterior communicating artery and ACM (black arrows) and (b) a Saltzmann Type 1 persistent trigeminal artery (green arrow) that supplies the cerebral posterior arteries (black arrowhead) and superior cerebellar arteries (green arrowhead). The basilar artery appears hypoplastic (black arrow). (c) Thoracic computed tomography angiography revealed an aortic coarctation (arrow) and (d) dilatation of transverse cervical and suprascapular arteries
The association of CoA and intracranial aneurysms (IAs) has been previously reported with a prevalence ranging from 2.5–50%. Recently, a proportion close to 10%[
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