IMAGES IN NEUROLOGY

A unique association: trigeminal and stapedial arteries in a patient harboring a meningioma

Uma associação rara: artéria trigeminal e estapediana em paciente com meningioma

Felipe Padovani Trivelato; Marco Túlio Salles Rezende; Alexandre Cordeiro Ulhôa

Interventional Neuroradiology Service - Felício Rocho Hospital, Belo Horizonte MG, Brazil

Correspondence

A 63-year-old woman performed a magnetic resonance imaging because of persistent headache, which demonstrated a left parietal convexity tumor. A digital subtraction angiography was performed in order to plan the preoperative embolization. It showed the persistence of primitive trigeminal artery associated with the persistence of stapedial artery^1,2. The stapedial artery, arising from the cervical internal carotid artery, established anastomosis with the ophthalmic artery and originated the middle meningeal artery, which was responsible for the tumor supply (Figure). There is no previous report of this association in literature. The pathological findings confirmed the diagnosis of meningioma.

References

1. Jain R, Gandhi D, Gujar S, Mukherji SK. Case 67: Persistent stapedial artery. Radiology 2004;230:413-416.         [ Links ]

2. Willinsky R, Lasjaunias P, Berenstein A. Intracavernous branches of the internal carotid artery (ICA). Comprehensive review of their variations. Surg Radiol Anat 1987;9:201-215.         [ Links ]

Correspondence:
Felipe Padovani Trivelato
Rua Timbiras 3 616
30140-062 Belo Horizonte MG - Brasil
E-mail: felipepadovani@yahoo.com.br

Conflict of interest:
There is no conflict of interest to declare.

Received 29 September 2011
Received in final form 13 October 2011
Accepted 20 October 2011