title: Persistent trigeminal artery: in situ thrombosis and associated perforating vessel infarction.
abstract: We report a patient with progressive brainstem infarction despite medical therapy. The patient was transferred to our institution for potential angioplasty of basilar stenosis. Imaging review demonstrated persistent trigeminal artery in situ thrombosis and associated perforating vessel infarction. Persistent trigeminal arteries are commonly associated with an atretic basilar artery and interventional treatment can result in significant morbidity and mortality.
authors.affiliation: Department of Radiology, University of Virginia Health System, PO Box 800170, Charlottesville, VA 22908, USA. Electronic address: jrg4s@hscmail.mcc.virginia.edu.
authors.forename: John R
authors.initials: JR
authors.lastname: Gaughen
authors.affiliation: Department of Neurosurgery, University of Virginia Health System, Charlottesville, VA, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Starke
authors.affiliation: Department of Radiology, University of Virginia Health System, PO Box 800170, Charlottesville, VA 22908, USA.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Durst
authors.affiliation: Department of Radiology, University of Virginia Health System, PO Box 800170, Charlottesville, VA 22908, USA.
authors.forename: Avery J
authors.initials: AJ
authors.lastname: Evans
authors.affiliation: Department of Radiology, University of Virginia Health System, PO Box 800170, Charlottesville, VA 22908, USA.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Jensen
mesh_terms: D001488:Basilar Artery / Q000002:abnormalities* / Q000473:pathology*; D006801:Humans; D007238:Infarction / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis*
keywords: Angioplasty; Basilar artery; Infarct; Intracranial atherosclerosis; Persistent trigeminal artery; Stroke; Vascular anatomy