Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 5/2007

01-06-2007 | Anatomic Variations

The infra-optic course of the anterior cerebral arteries: an anatomic case report

Authors: J. Peltier, A. Fichten, E. Havet, C. Page, P. Foulon, M. Laude, D. Le Gars

Published in: Surgical and Radiologic Anatomy | Issue 5/2007

Login to get access

Abstract

Although variations of the anterior part of the cerebral arterial circle of Willis are quite well known, though some anomalies are exceedingly rare. In a 61-year-old female individual, on both sides the precommunicating parts of the anterior cerebral artery were found to course inferiorly to the ipsilateral optic nerves. This anomaly was associated with an agenesis of a left posterior communicating artery. The anatomic features, the possible high prevalence of associated aneurysms of the anterior communicating artery complex as well as implications for surgical planning or endovascular treatment are outlined and embryologic considerations and discussed.
Literature
1.
Al-Qahtani S, Tampieri D, Brassard R, Sirhan D, Mellanson D (2003) Coil embolization of an aneurysm associated with an infraoptic anterior cerebral artery in a child. AJNR Am J Neuroradiol 24:990–991PubMed
2.
Besson G, Leguyader J, Mimassi N, Vallee B, Garre H (1980) A rare anomaly of the circle of Willis: infraoptic course of both anterior cerebral arteries: associated aneurysm of the basilar bifurcation. Neurochirurgie 26:71–75PubMed
3.
Bollar A, Martinez R, Gelabert M, Garcia A (1988) Anomalous origin of the anterior cerebral artery associated with aneurysm: embryological considerations. Neuroradiology 30:86PubMedCrossRef
4.
Bosma NJ (1977) Infra-optic course of anterior cerebral artery and low bifurcation of the internal carotid artery. Acta Neurochir (Wien) 38:305–312CrossRef
5.
Brismar J, Ackerman R, Roberson G (1977) Anomaly of anterior cerebral artery: a case report and embryologic considerations. Acta Radiol Diagn (Stockh) 18:154–160
6.
Chioffi F, Pasqualin A, Borghesi I, Ferraresi P, Da Pian R (1997) Anomalies associated with aneurysms of the anterior complex: microsurgical implications. In: 11th International Congress of Neurosurgical Surgery. Monduzzi Publishing, Bologna pp 529–533
7.
Curtis A, Given P, Pearse Morris (2002) Recognition and importance of an infraoptic anterior cerebral artery: case report. AJNR Am J Neuroradiol 23:452–454
8.
Huber P (1960) Kombination von sackformigen aneurysmen der a pericallosa mit anomalien des circulus Willisi im karotisangiogramm. Fortschr Geb Rontgenstr Nuklearmed 93:178–184PubMedCrossRef
9.
Isherwood I, Dutton J (1969) Unusual anomaly of the anterior cerebral artery. Acta Radiol Diagn (Stockh) 9:345–351
10.
Kwak R, Nizuma H, Hatanaka M, Suzuki J (1980) Anterior communicating artery aneurysms with associated anomalies. J Neurosurg 52:162–164PubMed
11.
Lasjaunias P (1975) Artère méningée moyenne (chez l’homme). Thesis, Paris
12.
Lazorthes G (1961) Vascularisation et circulation cérébrale. Masson, Paris pp 1–323
13.
Lehmann G, Vincentelli F, Ebagosti A (1980) Rare abnormalities of the circle of Willis: infraoptic pathway of the anterior cerebral arteries. Neurochirurgie 26:243–246PubMed
14.
Maurer J, Maurer E, Perneczky A (1991) Surgicaly verified variations in the A1 segment of the anterior cerebral artery: report of two cases. J Neurosurg 75:950–953PubMed
15.
McCormick W (1969) A unique anomaly of the intracranial arteries of man. Neurology 19:77–80PubMed
16.
Mercier P, Velut S, Fournier D, Lescalie F, Guy G, Pillet J, Cronier P (1989) A rare embryologic variation: carotid-anterior cerebral artery anastomosis or infraoptic course of the anterior cerebral artery. Surg Radiol Anat 11:73–77PubMedCrossRef
17.
Milenkovic Z (1981) Anastomosis between internal carotid artery and anterir cerebral artery with other anomalies of the circle of Willis in a fetal brain. J Neurosurg 55:701–703PubMedCrossRef
18.
Nutik S, Dilenge D (1976) Carotid-anterior cerebral artery anastomosis: case report. J Neurosurg 44:378–382PubMed
19.
Odake G (1988) Carotid-anterior cerebral artery anastomosis with aneurysm: case report and review of the literature. Neurosurgery 23:654–658PubMedCrossRef
20.
Ogawa A, Suzuki M, Sakurai Y, Yoshimoto T (1990) Vascular anomalies associated with aneurysms of the anterior communicating artery: microsurgical observations. J Neurosurg 72:706–709PubMed
21.
Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–261
22.
Pretterklieber ML, Schindler A, Krammer EB (1994) Unilateral persistence of the dorsal ophtalmic artery in man. Acta Anat 149:300–305PubMedCrossRef
23.
Robinson LR (1959) An unusual human anterior cerebral artery. J Anat 93:131–133PubMed
24.
Rosenorn J, Ahlgren P, Ronde F (1985) Pre-optic origin of the anterior cerebral artery. Neuroradiology 27:275–277PubMedCrossRef
25.
Sheehy JP, Kendall BE, Thomas DG (1983) Infraoptic course of the anterior cerebral artery associated with a pituitary tumor. Surg Neurol 20:97–99PubMedCrossRef
26.
Spinnato S, Pasqualin A, Chioffi F, Da Pian R (1999) Infraoptic course of the anterior cerebral artery associated with anterior communicating artery aneurysm: anatomic case report and embryologic considerations. Neurosurgery 44:1315–1319PubMedCrossRef
27.
Teal JS, Rumbaugh CL, Segall HD, Bergeron RT (1973) Anomalous branches of the internal carotid artery. Radiology 106:567–573PubMed
28.
Weon YC, Chung JI, Kim HJ, Byun HS (2005) Agenesis of bilateral internal carotid arteries and posterior fossa abnormality in a patient with facial capillary hemangioma: presumed incomplete phenotypic expression of PHACE syndrome. AJNR AM J Neuroradiol 26:2536–2539
29.
Yasargil MG (1984) Microneurosurgery, vol 1. Georg Thieme, Stuttgart, p 97
Metadata
Title
The infra-optic course of the anterior cerebral arteries: an anatomic case report
Authors
J. Peltier
A. Fichten
E. Havet
C. Page
P. Foulon
M. Laude
D. Le Gars
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
Surgical and Radiologic Anatomy / Issue 5/2007
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-007-0221-5

Other articles of this Issue 5/2007

Surgical and Radiologic Anatomy 5/2007 Go to the issue

Medical Imaging

Pancreatographic investigation of the pancreatic duct system

Medical Imaging

The thin sectional anatomy of the temporal bone correlated with multislice spiral CT

Original Article

Congenital coronary arteries anomalies: review of the literature and multidetector computed tomography (MDCT)-appearance

Original Article

Acrel’s ganglion

Original Article

The clinical anatomy of the posterior gastric artery revisited

Original Article

Topographic distribution area of the infraorbital nerve