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Published in: Surgical and Radiologic Anatomy 4/2014

01-05-2014 | Original Article

A1 segment hypoplasia accompanied by AcomA aneurysms assessed with magnetic resonance angiography

Authors: Hao Chen, Ming-Hua Li

Published in: Surgical and Radiologic Anatomy | Issue 4/2014

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Abstract

Purpose

This study is to evaluate the use of three-dimensional time-of-flight magnetic resonance angiography (3D-TOF MRA) at 3.0 T for the detection and classification of A1 segment hypoplasia based on a large case series and investigates the potential links with AcomA aneurysm occurrence.

Methods

Between January 2009 and June 2012, 8,013 patients underwent MRA examination at 3.0 T in our hospital. MRA was performed using 3D-TOF with volume rendering technique. The presence and location of A1 segment hypoplasia and AcomA aneurysm was reviewed.

Results

Among the 8,013 patients examined, 138 patients were identified with AcomA aneurysms. 425 patients were defined with A1 segment hypoplasia, among whom 303 right-sided A1 hypoplasia and 122 left-sided A1 hypoplasia. 60 of these 425 patients were confirmed with AcomA aneurysms, among them were 49 right-sided A1 hypoplasia. The prevalence of AcomA aneurysm with A1 segment hypoplasia was 14.1 %, which was much higher compared with that (1.0 %) of AcomA aneurysm without A1 segment hypoplasia (P < 0.001).

Conclusions

The incidence of right-sided A1 segment hypoplasia either accompanied with AcomA aneurysm or not was much greater than that of left-sided. Intracranial AcomA aneurysm development appeared to be associated with A1 segment hypoplasia.
Literature
1.
go back to reference Bor AS, Velthuis BK, Majoie CB, Rinkel GJ (2008) Configuration of intracranial arteries and development of aneurysms: a follow-up study. Neurology 70:700–705PubMedCrossRef Bor AS, Velthuis BK, Majoie CB, Rinkel GJ (2008) Configuration of intracranial arteries and development of aneurysms: a follow-up study. Neurology 70:700–705PubMedCrossRef
2.
go back to reference Castro MA, Putman CM, Sheridan MJ, Cebral JR (2009) Hemodynamic patterns of anterior communicating artery aneurysms: a possible association with rupture. AJNR Am J Neuroradiol 30:297–302PubMedCentralPubMedCrossRef Castro MA, Putman CM, Sheridan MJ, Cebral JR (2009) Hemodynamic patterns of anterior communicating artery aneurysms: a possible association with rupture. AJNR Am J Neuroradiol 30:297–302PubMedCentralPubMedCrossRef
3.
go back to reference Charbel FT, Seyfried D, Mehta B, Dujovny M, Ausman JI (1991) Dominant A1: angiographic and clinical correlations with anterior communicating artery ANs. Neurol Res 13(4):253–256PubMed Charbel FT, Seyfried D, Mehta B, Dujovny M, Ausman JI (1991) Dominant A1: angiographic and clinical correlations with anterior communicating artery ANs. Neurol Res 13(4):253–256PubMed
5.
go back to reference Hiratsuka Y, Miki H, Kiriyama I et al (2008) Diagnosis of unruptured intracranial aneurysms: 3 T MR Angiography versus 64-channel multi-detector row CT angiography. Magn Reson Med Sci 7:169–178PubMedCrossRef Hiratsuka Y, Miki H, Kiriyama I et al (2008) Diagnosis of unruptured intracranial aneurysms: 3 T MR Angiography versus 64-channel multi-detector row CT angiography. Magn Reson Med Sci 7:169–178PubMedCrossRef
6.
go back to reference Jou LD, Lee DH, Mawad ME (2010) Cross-flow at the anterior communicating artery and its implication in cerebral aneurysm formation. J Biomech 43:2189–2195PubMedCrossRef Jou LD, Lee DH, Mawad ME (2010) Cross-flow at the anterior communicating artery and its implication in cerebral aneurysm formation. J Biomech 43:2189–2195PubMedCrossRef
7.
go back to reference Kane AG, Dillon WP, Barkovich J, Norman D, Dowd CF, Kane TT (1996) Reduced caliber of the internal carotid artery: a normal finding with ipsilateral absence or hypoplasia of the A1 segment. Am J Neuroradiol 17:1295–1301PubMed Kane AG, Dillon WP, Barkovich J, Norman D, Dowd CF, Kane TT (1996) Reduced caliber of the internal carotid artery: a normal finding with ipsilateral absence or hypoplasia of the A1 segment. Am J Neuroradiol 17:1295–1301PubMed
8.
go back to reference Kayembe KNT, Sasahara M, Hazama F (1984) Cerebral aneurysms and variations of the circle of Willis. Stroke 15:846–850PubMedCrossRef Kayembe KNT, Sasahara M, Hazama F (1984) Cerebral aneurysms and variations of the circle of Willis. Stroke 15:846–850PubMedCrossRef
9.
go back to reference Kluytmans M, Van der Grond J, Van Everdingen KJ, Klijn CJM, Kappelle LJ, Viergever MA (1999) Cerebral hemodynamics in relation to patterns of collateral flow. Stroke 30:1432–1439PubMedCrossRef Kluytmans M, Van der Grond J, Van Everdingen KJ, Klijn CJM, Kappelle LJ, Viergever MA (1999) Cerebral hemodynamics in relation to patterns of collateral flow. Stroke 30:1432–1439PubMedCrossRef
10.
go back to reference Kwak R, Niizuma H, Suzuki J (1980) Hemodynamics in the anterior part of the circle of Willis in patients with intracranial aneurysms: a study of cerebral angiography. Tohoku J Exp Med 132:69–73PubMedCrossRef Kwak R, Niizuma H, Suzuki J (1980) Hemodynamics in the anterior part of the circle of Willis in patients with intracranial aneurysms: a study of cerebral angiography. Tohoku J Exp Med 132:69–73PubMedCrossRef
11.
go back to reference Li MH, Li YD, Tan HQ et al (2011) Contrast-free MRA at 3.0 T for the detection of intracranial aneurysms. Neurology 77:667–676PubMedCrossRef Li MH, Li YD, Tan HQ et al (2011) Contrast-free MRA at 3.0 T for the detection of intracranial aneurysms. Neurology 77:667–676PubMedCrossRef
12.
go back to reference Mackenzie JM (1991) The anatomy of aneurysm-bearing circles of Willis. Clin Neuropathol 10(4):187PubMed Mackenzie JM (1991) The anatomy of aneurysm-bearing circles of Willis. Clin Neuropathol 10(4):187PubMed
13.
go back to reference Maurer J, Maurer E, Perneczky A (1991) Surgically verified variations in the A1 segment of the anterior cerebral artery. J Neurosurg 75:950–953PubMedCrossRef Maurer J, Maurer E, Perneczky A (1991) Surgically verified variations in the A1 segment of the anterior cerebral artery. J Neurosurg 75:950–953PubMedCrossRef
14.
go back to reference Schomer DF, Marks MP, Steinberg GK, Johnstone IM, Boothroyd DB, Ross MR, Pelc NJ, Enzmann DR (1994) The anatomy of the posterior communicating artery as a risk factor for ischemic cerebral infarction. NEJM 330:1565–1570PubMedCrossRef Schomer DF, Marks MP, Steinberg GK, Johnstone IM, Boothroyd DB, Ross MR, Pelc NJ, Enzmann DR (1994) The anatomy of the posterior communicating artery as a risk factor for ischemic cerebral infarction. NEJM 330:1565–1570PubMedCrossRef
15.
go back to reference Sun C, Xv ZD, Yuan ZG et al (2012) MSCT diagnosis of aneurysms associated with an unusual variant: atypical triplication anterior cerebral artery. Surg Radiol Anat 34(8):777–780PubMedCrossRef Sun C, Xv ZD, Yuan ZG et al (2012) MSCT diagnosis of aneurysms associated with an unusual variant: atypical triplication anterior cerebral artery. Surg Radiol Anat 34(8):777–780PubMedCrossRef
16.
go back to reference Tarulli E, Fox AJ (2010) Potent risk factor for aneurysm formation: termination aneurysms of the anterior communicating artery and detection of A1 vessel asymmetry by flow dilution. AJNR Am J Neuroradiol 31:1186–1191PubMedCrossRef Tarulli E, Fox AJ (2010) Potent risk factor for aneurysm formation: termination aneurysms of the anterior communicating artery and detection of A1 vessel asymmetry by flow dilution. AJNR Am J Neuroradiol 31:1186–1191PubMedCrossRef
17.
go back to reference Uchino A, Nomiyama K, Takase Y, Kudo S (2006) Anterior cerebral artery variations detected by MR angiography. Neuroradiology 48:647–652PubMedCrossRef Uchino A, Nomiyama K, Takase Y, Kudo S (2006) Anterior cerebral artery variations detected by MR angiography. Neuroradiology 48:647–652PubMedCrossRef
18.
go back to reference Wollschlaeger G, Wollschlaeger PB (1974) The circle of Willis. In: Newton TH, Potts DG (eds) Radiology of the skull and brain angiography, vol 2. Mosby, St. Louis, pp 1171–1201 Wollschlaeger G, Wollschlaeger PB (1974) The circle of Willis. In: Newton TH, Potts DG (eds) Radiology of the skull and brain angiography, vol 2. Mosby, St. Louis, pp 1171–1201
19.
go back to reference Zurada A, Gielecki J, Shane Tubbs R et al (2011) Detailed 3D-morphometry of the anterior communicating artery: potential clinical and neurosurgical implications. Surg Radiol Anat 33(6):531–538PubMedCrossRef Zurada A, Gielecki J, Shane Tubbs R et al (2011) Detailed 3D-morphometry of the anterior communicating artery: potential clinical and neurosurgical implications. Surg Radiol Anat 33(6):531–538PubMedCrossRef
Metadata
Title
A1 segment hypoplasia accompanied by AcomA aneurysms assessed with magnetic resonance angiography
Authors
Hao Chen
Ming-Hua Li
Publication date
01-05-2014
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 4/2014
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-013-1182-5

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