Skip to main content

Advertisement

SpringerLink
Log in

Bilateral persistent stapedial arteries associated with unilateral moyamoya disease: a particular anatomic variant

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

The persistence of the stapedial artery is a rare vascular variant that could explain the origin of the middle meningeal artery from the petrous segment of the internal carotid artery.

The anatomic variations are illustrated and a summary of the possible hypothesis of the origin of the middle meningeal artery from the internal carotid artery is discussed, analysing the embryological works of the Carnegie Institute and the vascular development of the middle meningeal.

Methods and results

The authors present a young patient showing a particular vascular variant on diagnostic imaging. These showed a bilateral internal carotid artery that gives origin of the middle meningeal artery in a patient affected by moyamoya disease.

A literature review was performed to analyze the particular variant of the radiologic anatomy.

Conclusion

The internal carotid artery origin of the middle meningeal artery is a wonderful anatomic variant that permits to understand the complex embryological development and then involution of the stapedial artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Achrol AS, Guzman R, Lee M, Steinberg GK (2009) Pathophysiology and genetic factors in moyamoya disease. Neurosurg Focus 26:E4

    Article  Google Scholar 

  2. Bang OY, Fujimura M, Kim SK (2016) The pathophysiology of moyamoya disease: an update. J Stroke 18:12–20

    Article  Google Scholar 

  3. Cheng J, Bilaniuk L, Elden L (2013) Unusual association of bilateral persistent stapedial arteries and microtia with bilateral ossicular anomalies resulting in conductive hearing loss. Otol Neurotol 34:12–13

    Article  Google Scholar 

  4. Gartrell BC, Kennedy TA, Gubbels SP (2012) Bilateral duplicated internal carotid arteries presenting as middle ear masses: a case report and review of the literature. Ann Otol Rhinol Laryngol 121:521–524

    Article  Google Scholar 

  5. Hitier M, Zhang M, Labrousse M, Barbier C, Patron V, Moreau S (2013) Persistent stapedial arteries in human: from phylogeny to surgical consequences. Surg Radiol Anat 35:883–891

    Article  Google Scholar 

  6. Lasjaunias P, Berenstein A (2001) Arterial Variants in the Middle Ear. In: Surgical Neuroangiography. pp. 281–292

  7. Lasjaunias P, Moret J, Manelfe C, Théron J, Hasso T, Seeger J (1977) Arterial anomalies at the base of the skull. Neuroradiology 13:267–272

    Article  CAS  Google Scholar 

  8. Padget Dorcas Hager (1948) The development of the cranial arteries in the human embryo (Contributions to Embryology. Vol. 32. No. 212.). pp 207–236

  9. Rodesch G, Choi IS, Lasjaunias P (1991) Complete persistence of the hyoido-stapedial artery in man. Case report. Intra-petrous origin of the maxillary artery from ICA. Surg Radiol Anat 13:63–65

    Article  CAS  Google Scholar 

  10. Roll JD, Urban MA, Larson TC 3rd, Gailloud P, Jacob P, Harnsberger HR (2003) Bilateral aberrant internal carotid arteries with bilateral persistent stapedial arteries and bilateral duplicated internal carotid arteries. AJNR Am J Neuroradiol 24:762–765

    PubMed  Google Scholar 

  11. Silbergleit R, Quint DJ, Mehta BA, Patel SC, Metes JJ, Noujaim SE (2000) The persistent stapedial artery. AJNR Am J Neuroradiol 21:572–577

    CAS  PubMed  Google Scholar 

  12. Uchino A, Saito N, Takahashi M, Kurita H, Ishihara S (2014) Cerebral arterial variations associated with moyamoya disease diagnosed by MR angiography. Neuroradiol J 27:697–701

    Article  Google Scholar 

  13. Yuen H-W, Thompson AL, Symons SP, Nedzelski JM (2008) Bilateral persistent stapedial artery. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol 29:1205–1206

    Article  Google Scholar 

Download references

Funding

No funding was received for this study.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Neurocenter of the Southern Switzerland, Regional Hospital of Lugano, Via Tesserete 46, CH-6903, Lugano, Switzerland

    Alessio Chiappini & Thomas Robert

  2. Department of Interventional Neuroradiology, Rothschild Foundation Hospital, Paris, France

    Gabriele Cicciò & Stanislas Smajda

Authors
  1. Alessio Chiappini
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gabriele Cicciò
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Stanislas Smajda
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Thomas Robert
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

AC: project development and manuscript writing and editing; GC: image collection; SS: image collection; TR: project development and manuscript editing.

Corresponding author

Correspondence to Alessio Chiappini.

Ethics declarations

Conflict of interest

The authors have no conflict of interest to declare regarding the materials or methods used in this study or the findings presented in this paper.

Consent of publication

Patient gave us the consent to publish de-identified personal information for this report.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chiappini, A., Cicciò, G., Smajda, S. et al. Bilateral persistent stapedial arteries associated with unilateral moyamoya disease: a particular anatomic variant. Surg Radiol Anat 42, 1123–1126 (2020). https://doi.org/10.1007/s00276-020-02519-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-020-02519-2

Keywords

Search

Navigation