Abstract
Carotid-vertebrobasilar (VB) anastomoses are rare and usually found incidentally, but they can have clinical significance. Their variance can represent aneurysm formation at the origin of the anomalous artery, cerebral ischemia due to unique blood flow, or other complications. Thus, recognition and correct diagnosis of these anomalous vessels are important when interpreting magnetic resonance (MR) and computed tomography (CT) angiography. This pictorial essay presents MR and CT angiographic images of several types of persistent fetal carotid-VB anastomoses, including those involving the proatlantal, hypoglossal, and trigeminal arteries as well as their variants. Images depict types 1 and 2 proatlantal arteries, persistent second cervical intersegmental artery, persistent hypoglossal artery (PHA), PHA of external carotid origin, two types of the PHA variant, posterior inferior cerebellar artery arising from the jugular branch of the ascending pharyngeal artery, lateral and medial types of persistent trigeminal arteries (PTAs), and four types of PTA variants.
TY - JOUR
T1 - Carotid-vertebrobasilar anastomosis: magnetic resonance and computed tomographic angiographic demonstration.
A1 - Uchino,Akira,
Y1 - 2019/06/18/
PY - 2019/01/19/received
PY - 2019/06/11/accepted
PY - 2019/6/20/pubmed
PY - 2019/12/4/medline
PY - 2019/6/20/entrez
KW - Carotid-vertebrobasilar anastomosis
KW - Cerebral arterial variations
KW - Persistent hypoglossal artery
KW - Persistent trigeminal artery
KW - Proatlantal artery
SP - 565
EP - 578
JF - Japanese journal of radiology
JO - Jpn J Radiol
VL - 37
IS - 8
N2 - Carotid-vertebrobasilar (VB) anastomoses are rare and usually found incidentally, but they can have clinical significance. Their variance can represent aneurysm formation at the origin of the anomalous artery, cerebral ischemia due to unique blood flow, or other complications. Thus, recognition and correct diagnosis of these anomalous vessels are important when interpreting magnetic resonance (MR) and computed tomography (CT) angiography. This pictorial essay presents MR and CT angiographic images of several types of persistent fetal carotid-VB anastomoses, including those involving the proatlantal, hypoglossal, and trigeminal arteries as well as their variants. Images depict types 1 and 2 proatlantal arteries, persistent second cervical intersegmental artery, persistent hypoglossal artery (PHA), PHA of external carotid origin, two types of the PHA variant, posterior inferior cerebellar artery arising from the jugular branch of the ascending pharyngeal artery, lateral and medial types of persistent trigeminal arteries (PTAs), and four types of PTA variants.
SN - 1867-108X
UR - https://www.unboundmedicine.com/medline/citation/31214937/Carotid_vertebrobasilar_anastomosis:_magnetic_resonance_and_computed_tomographic_angiographic_demonstration_
DB - PRIME
DP - Unbound Medicine
ER -