ナカジマ レイコ   Nakajima Reiko
  中島 怜子
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Persistent hypoglossal artery and its variants diagnosed by CT and MR angiography.
掲載誌名 正式名:Neuroradiology
略  称:Neuroradiology
ISSNコード:14321920/00283940
掲載区分国外
巻・号・頁 55(1),pp.17-23
著者・共著者 Uchino Akira, Saito Naoko, Okada Yoshitaka, Kozawa Eito, Nishi Naoko, Mizukoshi Waka, Inoue Kaiji, Nakajima Reiko, Takahashi Masahiro
発行年月 2013/01
概要 INTRODUCTION:Persistent hypoglossal artery (PHA) is the second most common anastomosis between the carotid and vertebrobasilar systems and demonstrates some variations. We evaluated the prevalence of PHA on computed tomography (CT) angiography. We also evaluated characteristic features of PHA and its variants on magnetic resonance (MR) angiography.METHODS:We retrospectively reviewed our database of 2,074 CT angiographic images obtained using either of two 64-slice multidetector CT scanners. We also reviewed our database of 7,646 MR angiographic images obtained using either of two 1.5-T or one 3.0-T imager. We could not determine the exact number of patients whose MR angiography included the hypoglossal canal. Most patients had or were suspected of having cerebrovascular diseases.RESULTS:We found six usual PHAs arising from the cervical internal carotid artery on CT angiography among 2,074 patients. On MR angiography, we also found six additional usual PHAs (total 12, right/left = 6/6, male/female = 3/9), three right PHAs originating from the external carotid artery (ECA), and two posterior inferior cerebellar arteries (PICAs) arising from the ECA without connection to the vertebral artery.CONCLUSIONS:The prevalence of usual PHA diagnosed by CT angiography was 0.29 %, slightly higher than that reported for angiography and may be due to selection bias in the examined patients. We propose naming usual PHA "type 1 PHA"; PHA originating from the ECA, of which we found three, "type 2 PHA"; and PICA arising from the ECA, of which we found two, "type 2 PHA variant."
DOI 10.1007/s00234-012-1074-0
PMID 22821359