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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.<\/jats:p>","DOI":"10.1093\/omcr\/omac076","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T12:10:03Z","timestamp":1674216603000},"source":"Crossref","is-referenced-by-count":1,"title":["Collateral damage: a case report of vertebral artery dissection and stroke in the young with persistent primitive trigeminal artery"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4102-993X","authenticated-orcid":false,"given":"Kymmi S","family":"Caesar","sequence":"first","affiliation":[{"name":"St Clair Medical Center , Port of Spain, Trinidad, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale A","family":"Maharaj","sequence":"additional","affiliation":[{"name":"St Clair Medical Center , Port of Spain, Trinidad, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Ramlakhansingh","sequence":"additional","affiliation":[{"name":"St Clair Medical Center , Port of Spain, Trinidad, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Sinanan","sequence":"additional","affiliation":[{"name":"St Clair Medical Center , Port of Spain, Trinidad, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7539-8856","authenticated-orcid":false,"given":"Richard","family":"Ramsingh","sequence":"additional","affiliation":[{"name":"St Clair Medical Center , Port of Spain, Trinidad, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,18]]},"reference":[{"key":"2023030120224929000_","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/S1474-4422(18)30233-3","article-title":"Epidemiology, etiology, and management of ischemic stroke in young adults","volume":"17","author":"Ekker","year":"2018","journal-title":"Lancet Neurol"},{"key":"2023030120224929000_","first-page":"157","article-title":"Strokes in young adults: epidemiology and prevention","volume":"11","year":"2015","journal-title":"Vascular health and risk management"},{"key":"2023030120224929000_","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1212\/01.wnl.0000244486.30455.71","article-title":"Incidence and outcome of cervical artery dissection: a population-based study","volume":"67","author":"Lee","year":"2006","journal-title":"Neurology"},{"key":"2023030120224929000_","article-title":"Persistent trigeminal artery playing a protective role in a case of vertebral artery dissection and stenosis","volume":"11","author":"Nunes","year":"2019","journal-title":"Cureus"},{"key":"2023030120224929000_","first-page":"399","article-title":"Persistent primitive trigeminal artery: a review","volume":"22","author":"Azab","year":"2012","journal-title":"Turk Neurosurg"},{"key":"2023030120224929000_","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1097\/00006123-199809000-00082","article-title":"Persistent trigeminal artery: an anatomic study","volume":"43","author":"Salas","year":"1998","journal-title":"Neurosurgery"},{"key":"2023030120224929000_","first-page":"TD13","article-title":"Persistent Primitive Hypoglossal Artery (PPHA) - 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