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Persistent Stapedial Artery
H. Ric Harnsberger, MD; Philip R. Chapman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Persistent stapedial artery (PSA): Rare congenital vascular anomaly in which embryologic stapedial artery persists

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Kumar R et al: Detecting causes of pulsatile tinnitus on CT arteriography-venography: a pictorial review. Eur J Radiol. 139:109722, 2021
                                      2. Quatre R et al: Persistent stapedial artery in PHACE syndrome. Eur Ann Otorhinolaryngol Head Neck Dis. 136(3):215-7, 2019
                                      3. Hill FC et al: Persistent stapedial artery with ankylosis of the stapes footplate. Ear Nose Throat J. 97(8):227-8, 2018
                                      4. Stevens SM et al: Two consecutive cases of persistent stapedial artery managed with a carbon dioxide laser. Ann Otol Rhinol Laryngol. 127(1):59-63, 2018
                                      5. Goderie TPM et al: Surgical management of a persistent stapedial artery: a review. Otol Neurotol. 38(6):788-91, 2017
                                      6. Hitier M et al: Persistent stapedial arteries in human: from phylogeny to surgical consequences. Surg Radiol Anat. 35(10):883-91, 2013
                                      7. Saini J et al: Aberrant petrous internal carotid artery with cochlear anomaly-an unusual association. Surg Radiol Anat. 30(5):453-7, 2008
                                      8. Koesling S et al: Vascular anomalies, sutures and small canals of the temporal bone on axial CT. Eur J Radiol. 54(3):335-43, 2005
                                      9. Yilmaz T et al: Persistent stapedial artery: MR angiographic and CT findings. AJNR Am J Neuroradiol. 24(6):1133-5, 2003
                                      10. Silbergleit R et al: The persistent stapedial artery. AJNR Am J Neuroradiol. 21(3):572-7, 2000
                                      11. Thiers FA et al: Persistent stapedial artery: CT findings. AJNR Am J Neuroradiol. 21(8):1551-4, 2000
                                      12. Moreano EH et al: Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones. Laryngoscope. 104(3 Pt 1):309-20, 1994
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Definitions

                                                  • Persistent stapedial artery (PSA): Rare congenital vascular anomaly in which embryologic stapedial artery persists

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Angiographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Kumar R et al: Detecting causes of pulsatile tinnitus on CT arteriography-venography: a pictorial review. Eur J Radiol. 139:109722, 2021
                                                                          2. Quatre R et al: Persistent stapedial artery in PHACE syndrome. Eur Ann Otorhinolaryngol Head Neck Dis. 136(3):215-7, 2019
                                                                          3. Hill FC et al: Persistent stapedial artery with ankylosis of the stapes footplate. Ear Nose Throat J. 97(8):227-8, 2018
                                                                          4. Stevens SM et al: Two consecutive cases of persistent stapedial artery managed with a carbon dioxide laser. Ann Otol Rhinol Laryngol. 127(1):59-63, 2018
                                                                          5. Goderie TPM et al: Surgical management of a persistent stapedial artery: a review. Otol Neurotol. 38(6):788-91, 2017
                                                                          6. Hitier M et al: Persistent stapedial arteries in human: from phylogeny to surgical consequences. Surg Radiol Anat. 35(10):883-91, 2013
                                                                          7. Saini J et al: Aberrant petrous internal carotid artery with cochlear anomaly-an unusual association. Surg Radiol Anat. 30(5):453-7, 2008
                                                                          8. Koesling S et al: Vascular anomalies, sutures and small canals of the temporal bone on axial CT. Eur J Radiol. 54(3):335-43, 2005
                                                                          9. Yilmaz T et al: Persistent stapedial artery: MR angiographic and CT findings. AJNR Am J Neuroradiol. 24(6):1133-5, 2003
                                                                          10. Silbergleit R et al: The persistent stapedial artery. AJNR Am J Neuroradiol. 21(3):572-7, 2000
                                                                          11. Thiers FA et al: Persistent stapedial artery: CT findings. AJNR Am J Neuroradiol. 21(8):1551-4, 2000
                                                                          12. Moreano EH et al: Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones. Laryngoscope. 104(3 Pt 1):309-20, 1994