• World Neurosurg · Jan 2022

    Case Reports

    Persistent Stapedial Artery Resulting in Direct Communication Between the Middle Meningeal and Basilar Arteries: A Clinical Image.

    • Zaid Aljuboori, Margaret McGrath, and Basavaraj Ghodke.
    • Department of Neurological Surgery, University of Washington, Seattle, Washington, USA. Electronic address: zaid.aljuboori@yahoo.com.
    • World Neurosurg. 2022 Jan 1; 157: 64-66.

    AbstractA persistent stapedial artery originates from the petrous segment of the internal carotid artery due to failure of the regression of the embryonic stapedial artery. During embryologic development, the stapedial artery supplies the middle meningeal artery through the ventral pharyngeal artery. The presence of a persistent stapedial artery can result in direct communication between the basilar and middle meningeal arteries. We present a cerebral angiogram image of an adult patient that shows a right-sided persistent stapedial artery with communication between the right middle meningeal and basilar arteries. It is important to recognize such rare anatomic variants during endovascular interventions to avoid catastrophic complications such as nontarget embolization of the posterior circulation.Copyright © 2021 Elsevier Inc. All rights reserved.

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