A rare case report of a mixed persistent proatlantal intersegmental artery

Gao-Ting Ma; Zi-Xian Zhang; Yi-Ming Deng; Feng Gao; Zhong-Rong Miao; Xuan Sun

doi:10.1016/j.jocn.2018.11.028

A rare case report of a mixed persistent proatlantal intersegmental artery

J Clin Neurosci. 2019 Mar:61:272-274. doi: 10.1016/j.jocn.2018.11.028. Epub 2018 Dec 5.

Authors

Gao-Ting Ma¹, Zi-Xian Zhang², Yi-Ming Deng³, Feng Gao³, Zhong-Rong Miao³, Xuan Sun⁴

Affiliations

¹ Department of Neurology, Qianfoshan Hospital Affiliated to Shandong University, China.
² Department of Neurology, Zaozhuang Municipal Hospital, China.
³ Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, China.
⁴ Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, China. Electronic address: sunxuan008@126.com.

PMID: 30528542
DOI: 10.1016/j.jocn.2018.11.028

Abstract

Adults with persistent proatlantal intersegmental artery (PPIA) are rarely seen. We present a case of a special type of PPIA that was in a 57-year-old man who presented with dizziness and episodic vertigo of 9 months duration. The diagnosis relied on computed tomography angiography and digital subtraction angiography, by which a left internal carotid artery stenosis and an ipsilateral PPIA originating from the external carotid artery (ECA) was found. This special type of PPIA can be described as a ''mixed PPIA'' that originated as Type II from the ECA and coursed as Type I. The patient underwent carotid artery stenting and had no relapse during 3 months follow-up. In addition, the literatures on PPIA were reviewed.

Keywords: Carotid artery stenting; Proatlantal intersegmental artery.

Publication types

Case Reports

MeSH terms

Carotid Artery, External / abnormalities*
Carotid Stenosis / diagnostic imaging
Carotid Stenosis / pathology
Carotid Stenosis / surgery
Humans
Male
Middle Aged
Stents