{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T04:07:21Z","timestamp":1747454841744,"version":"3.40.5"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nThe primitive lateral basilovertebral anastomosis (PLBA) is a transient embryonic vessel in the vertebrobasilar system that typically regresses during cerebellar artery development. Persistent PLBA (PPLBA), which forms a vertebrobasilar duplication, is a rare vascular anomaly. This is the first reported case of multiple fusiform aneurysms associated with a PPLBA.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 14-year-old girl was diagnosed with intracranial aneurysms before undergoing coronary artery bypass grafting surgery for myocardial infarction. Digital subtraction angiography showed two fusiform aneurysms on a PPLBA, connecting the left vertebral artery (VA) and the left anterior inferior cerebellar artery (AICA). After 3 years of follow-up, a new aneurysm developed at the origin of the PPLBA, proximal to the existing two aneurysms. Due to the AICA blood flow originating mainly from the basilar artery (BA) rather than the PPLBA, endovascular parent artery occlusion of the PPLBA was planned to prevent aneurysmal rupture and subarachnoid hemorrhage. Complete occlusion of all three aneurysms was achieved without complications.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nUnderstanding the embryological anatomy of this rare vertebrobasilar duplication involving the PPLBA, AICA, BA, and VA facilitated the successful development of a therapeutic strategy. Aneurysms associated with PPLBA exhibit various vascular structures and can be treated effectively with tailored endovascular approaches.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_195_2025","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T11:01:44Z","timestamp":1747393304000},"page":"185","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful endovascular occlusion of multiple fusiform aneurysms on the persistent primitive lateral basilovertebral anastomosis"],"prefix":"10.25259","volume":"16","author":[{"given":"Taichi","family":"Ikedo","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kyoto University, Kyoto, Japan"},{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Itazu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotoshi","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuto","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Tabata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Shimonaga","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eika","family":"Hamano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyofumi","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisae","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Iihara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroharu","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"10.25259\/SNI_195_2025\/ref-1","first-page":"303","article-title":"Anatomy of segmental duplication in the human basilar artery","volume":"14","author":"De Caro","year":"1995","journal-title":"Possible site of aneurysm formation. Clin Neuropathol"},{"key":"10.25259\/SNI_195_2025\/ref-2","doi-asserted-by":"crossref","first-page":"CASE20108","DOI":"10.3171\/CASE20108","article-title":"Endovascular treatment of a ruptured aneurysm arising from the proximal end of a partial vertebrobasilar duplication with a contralateral prominent persistent primitive hypoglossal artery: Illustrative case","volume":"1","author":"Genkai","year":"2021","journal-title":"J Neurosurg Case Lessons"},{"key":"10.25259\/SNI_195_2025\/ref-3","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1002\/ar.23633","article-title":"The role of the primitive lateral basilovertebral anastomosis of padget in variations of the vertebrobasilar arterial system","volume":"300","author":"Gregg","year":"2017","journal-title":"Anat Rec (Hoboken)"},{"key":"10.25259\/SNI_195_2025\/ref-4","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/j.wneu.2015.09.040","article-title":"Stent-assisted coiling of aneurysm in a persistent primitive lateral vertebrobasilar system","volume":"86","author":"Joshi","year":"2016","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_195_2025\/ref-5","first-page":"368","article-title":"The embryology of the arteries of the brain","volume":"30","author":"Moffat","year":"1962","journal-title":"Ann R Coll Surg Engl"},{"key":"10.25259\/SNI_195_2025\/ref-6","doi-asserted-by":"crossref","first-page":"69","DOI":"10.2176\/jns-nmc.2021-0386","article-title":"Persistence of primitive lateral basilovertebral anastomosis with a ruptured posterior inferior cerebellar artery aneurysm: A case report","volume":"9","author":"Ota","year":"2022","journal-title":"NMC Case Rep J"},{"key":"10.25259\/SNI_195_2025\/ref-7","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1177\/15910199211063011","article-title":"Vascular supply of the hindbrain: Basic longitudinal and axial angioarchitecture","volume":"28","author":"Ota","year":"2022","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_195_2025\/ref-8","first-page":"205","article-title":"The development of the cranial arteries in the human embryo","volume":"32","author":"Padget","year":"1948","journal-title":"Contrib Embryol"},{"key":"10.25259\/SNI_195_2025\/ref-9","first-page":"781","article-title":"Primitive vertebrobasilar system associated with a ruptured aneurysm","volume":"25","author":"Yagi","year":"2004","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/successful-endovascular-occlusion-of-multiple-fusiform-aneurysms-on-the-persistent-primitive-lateral-basilovertebral-anastomosis\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/successful-endovascular-occlusion-of-multiple-fusiform-aneurysms-on-the-persistent-primitive-lateral-basilovertebral-anastomosis\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T12:26:24Z","timestamp":1747398384000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/successful-endovascular-occlusion-of-multiple-fusiform-aneurysms-on-the-persistent-primitive-lateral-basilovertebral-anastomosis\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,16]]},"references-count":9,"alternative-id":["10.25259\/SNI_195_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_195_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,16]]},"article-number":"185"}}