Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Jan 18;2023(1):omac076.
doi: 10.1093/omcr/omac076. eCollection 2023 Jan.

Collateral damage: a case report of vertebral artery dissection and stroke in the young with persistent primitive trigeminal artery

Kymmi S Caesar  1 , Dale A Maharaj  1 , Anil Ramlakhansingh  1 , Alexander Sinanan  1 , Richard Ramsingh  1
Affiliations
Case Reports

Collateral damage: a case report of vertebral artery dissection and stroke in the young with persistent primitive trigeminal artery

Kymmi S Caesar et al. Oxf Med Case Reports. .

Abstract

Stroke in the young is an uncommon condition resulting in significant morbidity and as result trammels the integrity of healthcare systems [1]. We present an unusual case of a 37-year-old male presenting with neurologic signs of right parietal lobe infarction with evidence of vertebral artery dissection and persistent carotid-vertebrobasilar anastomosis as a conduit for thromboembolism.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Axial DWI MRI showing hyperintensity in right parietal lobe adjacent to sylvian fissure.
Figure 2
Figure 2
(A) axial 3D-TOF MRI showing ‘crescent sign’ or dissection of left vertebral artery. (B) Sagittal highlight of major intracranial vessels and associated PPTA.
Figure 3
Figure 3
MRA showing presumed path of embolism from vertebral artery through PPTA to right ICA to right MCA.
See this image and copyright information in PMC

References

    1. Ekker MS, Boot EM, Singhal ABet al. . Epidemiology, etiology, and management of ischemic stroke in young adults. Lancet Neurol 2018;17:790–801. Available from:10.1016/S1474-4422(18)30233-3. - DOI - PubMed
    1. Smajlović D.. Strokes in young adults: epidemiology and prevention. Vascular health and risk management, 2015;11:157–164. 10.2147/VHRM.S53203. - DOI - PMC - PubMed
    1. Lee VH, Brown RD, Mandrekar JNet al. . Incidence and outcome of cervical artery dissection: a population-based study. Neurology 2006;67:1809–12. - PubMed
    1. Nunes M, Ullah A, Rios Jet al. . Persistent trigeminal artery playing a protective role in a case of vertebral artery dissection and stenosis. Cureus 2019;11:1–2. https://assets.cureus.com/uploads/case_report/pdf/21719/1612429044-16124.... - PMC - PubMed
    1. Azab W, Delashaw J, Mohammed M. Persistent primitive trigeminal artery: a review. Turk Neurosurg 2012;22:399–406. - PubMed

Publication types