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Republished: Basilar stroke from a persistent hypoglossal artery
- Source :
- Journal of NeuroInterventional Surgery. 9:e30-e30
- Publication Year :
- 2017
- Publisher :
- BMJ, 2017.
-
Abstract
- Occlusion of the basilar artery can be treated with endovascular thrombectomy, although the results have not been well studied. Persistent fetal cerebrovascular anatomy can lead to unusual presentation of carotid atherosclerotic disease and can be a barrier to successful mechanical thrombectomy if not recognized. This case presents a rare persistent carotico–basilar anastomosis which resulted in basilar occlusion via the persistent hypoglossal artery and coincident absence of contralateral vertebral arterial access due to a left vertebral artery terminating in the left posterior inferior cerebellar artery. Preoperative recognition of this anatomy afforded by review of cross-sectional imaging was critical to success during this emergent procedure.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
General Medicine
030204 cardiovascular system & hematology
Anastomosis
medicine.disease
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
medicine.artery
Occlusion
medicine
Basilar artery
Neurology (clinical)
Vertebrobasilar insufficiency
business
Stroke
030217 neurology & neurosurgery
Cerebral angiography
Artery
Computed tomography angiography
Subjects
Details
- ISSN :
- 17598486 and 17598478
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of NeuroInterventional Surgery
- Accession number :
- edsair.doi...........74b964bf255df7a4fa724b21ae7ea018