{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T17:00:29Z","timestamp":1778173229973,"version":"3.51.4"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract Persistent embryological connections between the anterior and posterior circulations are rare entities. Persistent hypoglossal artery is the second most common persistent carotid-basilar anastomosis. As it is often associated with hypoplasia of vertebral arteries, it poses a challenge during endovascular interventions. We present a case of a 32-year-old woman who presented with occipital headache of four weeks\u2019 duration. Magnetic Resonance Angiography showed hypoplastic vertebral arteries with a persistent hypoglossal artery arising from the cervical segment of the left internal carotid artery and supplying the entire posterior circulation, associated with a dissecting aneurysm of the right posterior cerebral artery. Endovascular parent vessel occlusion was performed for the dissecting posterior cerebral artery aneurysm by navigating the guide catheter, microwire, and microcatheter through the persistent hypoglossal artery because the vertebral arteries were hypoplastic. Post-intervention, the patient did not develop any neurological deficit and was discharged in a stable condition.<\/jats:p>","DOI":"10.1590\/1677-5449.200142","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T12:28:50Z","timestamp":1627907330000},"source":"Crossref","is-referenced-by-count":3,"title":["Endovascular management of dissecting posterior cerebral artery aneurysm associated with persistent hypoglossal artery: A case report"],"prefix":"10.1590","volume":"20","author":[{"given":"Vivek","family":"Murumkar","sequence":"first","affiliation":[{"name":"National Institute of Mental Health and Neurosciences,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7674-5004","authenticated-orcid":false,"given":"Sameer","family":"Peer","sequence":"additional","affiliation":[{"name":"National Institute of Mental Health and Neurosciences,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5218-0264","authenticated-orcid":false,"given":"Jitender","family":"Saini","sequence":"additional","affiliation":[{"name":"National Institute of Mental Health and Neurosciences,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanumanthapura Ramalingaiah","family":"Arvinda","sequence":"additional","affiliation":[{"name":"National Institute of Mental Health and Neurosciences,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.2176\/nmc.ra.2017-0050","article-title":"Carotid-vertebrobasilar anastomoses with reference to their segmental property","volume":"57","author":"Namba K","year":"2017","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1136\/jnnp.29.4.346","article-title":"The persistent hypoglossal artery","volume":"29","author":"Blain JG","year":"1966","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"ref3","first-page":"1","article-title":"Persistent hypoglossal artery as a potential risk factor for simultaneous carotid and vertebrobasilar infarcts","volume":"9","author":"Jin X","year":"2018","journal-title":"Front Neurol"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1177\/159101990901500206","article-title":"A case of aneurysm on a persistent hypoglossal artery treated by endovascular coiling","volume":"15","author":"De Blasi R","year":"2009","journal-title":"Interv Neuroradiol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.wneu.2018.06.119","article-title":"Fatal Subarachnoid Hemorrhage from an Aneurysm of a Persistent Primitive Hypoglossal Artery: Case Series and Literature Overview","volume":"117","author":"Varvari I","year":"2018","journal-title":"World Neurosurg"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.2214\/ajr.172.5.10227532","article-title":"The Persistent Anastomoses","volume":"172","author":"Luh GV","year":"1999","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1471-2342-3-2","article-title":"Angiographic findings and clinical implications of persistent primitive hypoglossal artery","volume":"3","author":"Vlychou M","year":"2003","journal-title":"BMC Med Imaging"},{"issue":"4","key":"ref8","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1001\/archneur.1963.00460040039002","article-title":"Persistent hypoglossal artery. Arteria hypoglossica primitiva","volume":"8","author":"Bruetman ME","year":"1963","journal-title":"Arch Neurol"},{"issue":"7","key":"ref9","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1177\/1538574419859102","article-title":"Persistent Hypoglossal Artery: Challenges Associated With Carotid Revascularization","volume":"53","author":"Madden NJ","year":"2019","journal-title":"Vasc Endovascular Surg"},{"issue":"8","key":"ref10","first-page":"1613","article-title":"Isolated stenosis of a persistent hypoglossal artery visualized at 3D CT angiography","volume":"22","author":"Wagner AL","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.surneu.2008.01.047","article-title":"Parent vessel occlusion for P2 dissecting aneurysms of the posterior cerebral artery","volume":"71","author":"Lv X","year":"2009","journal-title":"Surg Neurol"},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s41016-016-0066-z","article-title":"Dissecting aneurysms of the distal segment of the posterior cerebral artery: Clinical presentation and endovascular management","volume":"3","author":"Qian Z","year":"2017","journal-title":"Chinese Neurosurg J"},{"issue":"38","key":"ref13","first-page":"1","article-title":"Dissecting aneurysms of posterior cerebral artery: Clinical presentation, angiographic findings, treatment, and outcome","volume":"2","author":"Taqi MA","year":"2011","journal-title":"Front Neurol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.wneu.2016.03.063","article-title":"Posterior Cerebral Artery Aneurysms: Treatment and Outcome Analysis in 121 Patients","volume":"92","author":"Goehre F","year":"2016","journal-title":"World Neurosurg"},{"issue":"3","key":"ref15","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s00062-013-0219-9","article-title":"The safety and efficacy of stenting in the treatment of complex posterior cerebral artery aneurysms: A seven-case report and literature review","volume":"23","author":"Huang Q","year":"2013","journal-title":"Clin Neuroradiol"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/jvb\/v20\/1677-5449-jvb-20-e20200142.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T12:29:10Z","timestamp":1627907350000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492021000100626&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":15,"alternative-id":["S1677-54492021000100626"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.200142","relation":{},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e20200142"}}