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Embryologically, the internal carotid artery (ICA) is comprised of seven segments, any of which may be absent. We presented a very rare case of a well-preserved persistent primitive trigeminal artery (PTA), serving as a collateral pathway to the distal internal carotid artery territory, associated with segmental agenesis of the ipsilateral internal carotid artery.

the egyptian journal of neurosurgery : the official publication of the egyptian society of neurological surgeons/egyptian journal of neurosurgery

Co-existence of persistent primitive trigeminal artery and another primitive carotid-basilar anastomosis associated with segmental agenesis of the ipsilateral internal carotid artery: a case report