Cerebral Infarction in Both Carotid and Vertebrobasilar Territories Associated with a Persistent Primitive Hypoglossal Artery with Severe Dilated Cardiomyopathy

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• 作者：Hiroyuki Kawano ; Yuichiro Inatomi ; Teruyuki Hirano ; Toshiro Yonehara
• 关键词：Embolic stroke ; ischemic stroke ; persistent primitive hypoglossal artery
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：January, 2014
• 年：2014
• 卷：23
• 期：1
• 页码：176-178
• 全文大小：236 K

文摘

A persistent primitive hypoglossal artery (PPHA) is a relatively rare vascular anomaly of a persistent carotid-basilar anastomosis. A 76-year-old man with severe dilated cardiomyopathy suddenly lost consciousness. A magnetic resonance imaging scan of his brain revealed extensive infarction in the carotid and vertebrobasilar territories. Magnetic resonance angiography revealed a PPHA and occlusion of the left internal carotid artery and vertebrobasilar artery. Cardioembolic infarction associated with a PPHA should be recognized as a possible cause of multiple infarctions in both the carotid and vertebrobasilar distributions in the absence of stenotic ICA聽lesions.