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Surgical and Radiologic Anatomy

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01-07-2019 | Hemangioma | Anatomic Variations

Vertebral artery triplication

Author: Philippe Gailloud

Published in: Surgical and Radiologic Anatomy | Issue 7/2019

Abstract

Purpose

To report an extremely rare vertebral artery (VA) origin configuration.

Methods

Angiographic and MRI features of a VA triplication in a child are presented.

Results

The VA trifurcation was the result of the simultaneous persistence of the 4th, 5th and 6th primitive cervical intersegmental arteries, respectively, reaching the transverse canal at C4, C5 and C6. A contralateral VA duplication was noted as well.

Conclusion

A previously undocumented instance of VA triplication is presented. Knowledge of such variations is important for the planning of diagnostic and therapeutic cervicocranial angiography and the understanding of unusual images on noninvasive imaging studies. This type of anomaly also represents a risk factor for arterial dissection.

Ariëns Kappers CU (1947) Anatomie comparée du système nerveux. De Erven F. Bohn/Masson & Cie, Harleem/Paris

Chan PN, Yu SC, Boet R, Poon WS, Ahuja AT (2003) A rare congenital anastomosis between the vertebral artery and internal carotid artery. Am J Neuroradiol 24(9):1885–1886PubMed

Charpy A (1902) Système Nerveux. In: Poirier P, Charpy A (eds) Traité d’anatomie humaine, Volume 3, Fascicule 2. Masson et Cie, Paris, pp 549–610

Hochstetter F (1890) Uber die Entwicklung der A. Vertebralis beim Kaninchen, nebst Bemerkungen über die Entstehung des Ansa Vieussenii. Morphol Jahrb 16:572–586

Jackson RS, Wheeler AH, Darden BV (2000) Vertebral artery anomaly with atraumatic dissection causing thromboembolic ischemia: a case report. Spine 25(15):1989–1992CrossRefPubMed

Melki E, Nasser G, Vandendries C, Adams D, Ducreux D, Denier C (2012) Congenital vertebral duplication: a predisposing risk factor for dissection. J Neurol Sci 314(1–2):161–162CrossRefPubMed

Nogueira TE, Chambers AA, Brueggemeyer MT, Miller TJ (1997) Dual origin of the vertebral artery mimicking dissection. Am J Neuroradiol 18(2):382–384PubMed

Padget DH (1954) Designation of the embryonic intersegmental arteries in reference to the vertebral artery and subclavian stem. Anat Rec 119:349–356CrossRefPubMed

Parkinson D, Reddy V, Ross RT (1979) Congenital anastomosis between the vertebral artery and internal carotid artery in the neck. Case report. J Neurosurg 51(5):697–699CrossRefPubMed

10.

Quain R (1844) The anatomy of the arteries of the human body, with its applications to pathology and operative surgery: in lithographic drawings with practical commentaries. Taylor and Walton, London

Title: Vertebral artery triplication
Author: Philippe Gailloud
Publication date: 01-07-2019
Publisher: Springer Paris
Keywords: Hemangioma
Angiography
Hemangioma
Hemangioma
Hemangioma
Arterial Dissection
Hemangioma
Published in: Surgical and Radiologic Anatomy / Issue 7/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-019-02192-0

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Springer Medicine

Vertebral artery triplication

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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