Basilar Stroke From a Persistent Hypoglossal Artery

Authors

Alfred P. See
Jacob F. BaranoskiFollow
Bruno C. Flores
Andrew F. Ducruet, Barrow Neurological InstituteFollow
Felipe C. Albuquerque, Barrow Neurological InstituteFollow

Department

neurosurgery

Document Type

Article

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.

Publication Date

2017

Publication Title

Journal of neurointerventional surgery

ISSN

1759-8486

Volume

9

Issue

8

First Page

e30

Digital Object Identifier (DOI)

10.1136/neurintsurg-2016-012859.rep

Recommended Citation

See, Alfred P.; Baranoski, Jacob F.; Flores, Bruno C.; Ducruet, Andrew F.; and Albuquerque, Felipe C., "Basilar Stroke From a Persistent Hypoglossal Artery" (2017). Neurosurgery. 55.
https://scholar.barrowneuro.org/neurosurgery/55