Diagnosis of persistent trigeminal artery with 64-slice spiral CT angiography / 中国脑血管病杂志

ABSTRACT

Objective: To observe the application values of 64-slice spiral CT angiography (CTA) in diagnosing persistent trigeminal artery in an effort to improve the understanding of this vascular variation. Methods: The imaging data of 5 patients with persistent trigeminal artery in 2734 patients who performed 64-slice CTA of craniocervical arteries were analyzed retrospectively. The incidence, origin, running, and blood supply from posterior circulation of persistent trigeminal artery, and its complicating other vascular malformations were analyzed. Results: Circled digit oneThe incidence of persistent trigeminal artery was 0.18% (5/2734). Three of them were on the right side and 2 were on the left side. Circled digit twoAll the trigeminal arteries originated from the cavernous segment of internal carotid artery. Four patients were lateral type running and one (20%) was internal type running. According to Saltzman's classification about the blood supply in posterior circulation one patient was Saltzman type I , one was type II, and three were type III. Circled digit threeThree patients had basilar artery and bilateral vertebral artery hypoplasia at the point of proximal anastomosis, one had complete atrophy of basilar artery at the point of proximal anastomosis, one complicated with aneurysm of the persistent trigeminal artery, and one complicated with fenestrated middle cerebral artery on the contralateral side. Conclusions: 64-slice CTA can clearly, rapidly, noninvasively, and accurately display the persistent trigeminal artery and its running. Understanding of this abnormal vessel in the sellar or suprasellar regions before surgery and interventional treatment will help develop a reasonable surgical and interventional regimen to avoid the risks caused by improper management.