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Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature

BACKGROUND: Persistent primitive hypoglossal artery (PPHA), a remnant of embryonal circulation, is a rare variant of the posterior cerebral circulation. Seven prior cases of posterior circulation stroke in the setting of PPHA have been described in the literature, with all but one case being attribu...

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Autores principales: Voronovich, Zoya, Grandhi, Ramesh, Zwagerman, Nathan T., Jadhav, Ashutosh P., Jovin, Tudor G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287913/
https://www.ncbi.nlm.nih.gov/pubmed/25593766
http://dx.doi.org/10.4103/2152-7806.147412
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author Voronovich, Zoya
Grandhi, Ramesh
Zwagerman, Nathan T.
Jadhav, Ashutosh P.
Jovin, Tudor G.
author_facet Voronovich, Zoya
Grandhi, Ramesh
Zwagerman, Nathan T.
Jadhav, Ashutosh P.
Jovin, Tudor G.
author_sort Voronovich, Zoya
collection PubMed
description BACKGROUND: Persistent primitive hypoglossal artery (PPHA), a remnant of embryonal circulation, is a rare variant of the posterior cerebral circulation. Seven prior cases of posterior circulation stroke in the setting of PPHA have been described in the literature, with all but one case being attributable to atherosclerotic embolization from the internal carotid artery (ICA) through the PPHA. CASE DESCRIPTION: We report a unique case of a young male with a PPHA presenting with a “top of the basilar” syndrome following the repair of his atrial septal defect who underwent emergent revascularization via endovascular mechanical aspiration thrombectomy. The patient underwent a successful aspiration thrombectomy with significant improvement in his clinical exam. CONCLUSIONS: Considering the rarity of this persistent fetal anastamosis, it is important to be aware of the propensity for unusual presentations in the context of stroke, understand the management of the problem, and expeditiously treat the patient.
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spelling pubmed-42879132015-01-15 Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature Voronovich, Zoya Grandhi, Ramesh Zwagerman, Nathan T. Jadhav, Ashutosh P. Jovin, Tudor G. Surg Neurol Int Case Report BACKGROUND: Persistent primitive hypoglossal artery (PPHA), a remnant of embryonal circulation, is a rare variant of the posterior cerebral circulation. Seven prior cases of posterior circulation stroke in the setting of PPHA have been described in the literature, with all but one case being attributable to atherosclerotic embolization from the internal carotid artery (ICA) through the PPHA. CASE DESCRIPTION: We report a unique case of a young male with a PPHA presenting with a “top of the basilar” syndrome following the repair of his atrial septal defect who underwent emergent revascularization via endovascular mechanical aspiration thrombectomy. The patient underwent a successful aspiration thrombectomy with significant improvement in his clinical exam. CONCLUSIONS: Considering the rarity of this persistent fetal anastamosis, it is important to be aware of the propensity for unusual presentations in the context of stroke, understand the management of the problem, and expeditiously treat the patient. Medknow Publications & Media Pvt Ltd 2014-12-19 /pmc/articles/PMC4287913/ /pubmed/25593766 http://dx.doi.org/10.4103/2152-7806.147412 Text en Copyright: © 2014 Voronovich Z. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Voronovich, Zoya
Grandhi, Ramesh
Zwagerman, Nathan T.
Jadhav, Ashutosh P.
Jovin, Tudor G.
Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature
title Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature
title_full Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature
title_fullStr Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature
title_full_unstemmed Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature
title_short Manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: Case report and review of the literature
title_sort manual aspiration thrombectomy for basilar infarction in the setting of a persistent primitive hypoglossal artery: case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287913/
https://www.ncbi.nlm.nih.gov/pubmed/25593766
http://dx.doi.org/10.4103/2152-7806.147412
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