Persistent trigeminal artery

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Post-premature neonate. Downbeat nystagmus. Facial hemangioma.

Patient Data

Age: 4 months
Gender: Female
mri

Prominence of extra-axial subarachnoid spaces with dependancy of brain parenchyma. Minimal herniation of posterior fossa gyri over the anterior tentorium.

Incidental persistent trigeminal artery, a remnant of fetal circulation.

Case Discussion

This premature neonate has not specific abnormality to account for nystagmus. However, there is a persistent trigeminal artery, a remnant of fetal circulation and generalized prominence of subarachnoid spaces.

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