Persistent primitive hypoglossal artery associated with a ruptured basilar aneurysm: case report

●Abstract● Objective: The authors present a case with persistent primitive hypoglossal artery (PPHA) associated with a ruptured basilar aneurysm. Clinical presentation: A 58-year-old woman with subarachnoid hemorrhage (SAH) was admitted to our hospital. Her neurological condition was Grade III (Hunt and Kosnic). Cerebral angiography revealed a PPHA and a saccular aneurysm at the tip of the basilar artery. The aneurysm was successfully embolized with GDC coils through the PPHA. After a ventriculo-peritoneal shunt for hydrocephalus, the patient was discharged without any neurological defi cit. Conclusion: The aneurysm at the basilar artery associated with PPHA can be safely treated with coil embolization through the PPHA. ●Key Words● coil embolization, persistent primitive hypoglossal artery, subarachnoid hemorrhage

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