Skip to main content
Top
Published in: Surgical and Radiologic Anatomy 3/2015

01-04-2015 | Anatomic Variations

Left carotid-anterior cerebral artery anastomosis diagnosed by MR angiography: a case report

Authors: Nanami Okano, Akira Uchino, Naoko Saito, Hajime Maruyama

Published in: Surgical and Radiologic Anatomy | Issue 3/2015

Login to get access

Abstract

Anastomosis of the carotid-anterior cerebral artery (ACA) is a rare anomalous vessel that arises from the internal carotid artery (ICA) at the level of the ophthalmic artery and takes an infraoptic and prechiasmatic path to anastomose with the ACA. It has known right-sided predominance. We report the case of an 83-year-old man with a left carotid-ACA anastomosis that was diagnosed by magnetic resonance (MR) angiography from the neck to the head during investigation of transient left hemiplegia. The right ICA was occluded at its origin. Our literature search revealed only six reported cases of left carotid-ACA anastomoses. We believe ours is the first case diagnosed by MR angiography.
Literature
1.
go back to reference Gupta V, Chugh M, Vaishya S (2008) Infraoptic azygous anterior cerebral artery. Neurol India 56(4):487–488CrossRefPubMed Gupta V, Chugh M, Vaishya S (2008) Infraoptic azygous anterior cerebral artery. Neurol India 56(4):487–488CrossRefPubMed
2.
go back to reference Kan P, Yashar P, Chamczuk AJ, Levy EI, Hopkins LN, Siddiqui AH (2012) Letter to the editor: Multimodal treatment of co-existent callosal cavernous malformation and anterior communicating artery aneurysm associated with an infraoptic anterior cerebral artery. Neuroradiology 54(2):181–183CrossRefPubMed Kan P, Yashar P, Chamczuk AJ, Levy EI, Hopkins LN, Siddiqui AH (2012) Letter to the editor: Multimodal treatment of co-existent callosal cavernous malformation and anterior communicating artery aneurysm associated with an infraoptic anterior cerebral artery. Neuroradiology 54(2):181–183CrossRefPubMed
3.
go back to reference McLaughlin N, Bojanowski MW (2007) Infraoptic course of anterior cerebral arteries associated with abnormal gyral segmentation. Case report. J Neurosurg 107(2):430–434CrossRefPubMed McLaughlin N, Bojanowski MW (2007) Infraoptic course of anterior cerebral arteries associated with abnormal gyral segmentation. Case report. J Neurosurg 107(2):430–434CrossRefPubMed
4.
go back to reference 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(1):73–77CrossRefPubMed 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(1):73–77CrossRefPubMed
6.
go back to reference Spinnato S, Pasqualin A, Chioffi F, Da Pian R (1999) Infraoptic course of the anterior cerebral artery associated with an anterior communicating artery aneurysm: anatomic case report and embryological considerations. Neurosurgery 44(6):1315–1319PubMed Spinnato S, Pasqualin A, Chioffi F, Da Pian R (1999) Infraoptic course of the anterior cerebral artery associated with an anterior communicating artery aneurysm: anatomic case report and embryological considerations. Neurosurgery 44(6):1315–1319PubMed
7.
go back to reference Stevenson CB, Chambless LB, Rini DA, Thompson RC (2011) Bilateral infraoptic A1 arteries in association with a craniopharyngioma: case report and review of the literature. Surg Neurol Int 2:89CrossRefPubMedCentralPubMed Stevenson CB, Chambless LB, Rini DA, Thompson RC (2011) Bilateral infraoptic A1 arteries in association with a craniopharyngioma: case report and review of the literature. Surg Neurol Int 2:89CrossRefPubMedCentralPubMed
8.
go back to reference Turkoglu E, Arat A, Patel N, Kertmen H, Başkaya MK (2011) Anterior communicating artery aneurysm associated with an infraoptic course of anterior cerebral artery and rare variant of the persistent trigeminal artery: a case report and literature review. Clin Neurol Neurosurg 113(4):335–340CrossRefPubMed Turkoglu E, Arat A, Patel N, Kertmen H, Başkaya MK (2011) Anterior communicating artery aneurysm associated with an infraoptic course of anterior cerebral artery and rare variant of the persistent trigeminal artery: a case report and literature review. Clin Neurol Neurosurg 113(4):335–340CrossRefPubMed
9.
go back to reference Uchino A, Saito N, Okada Y, Inoue K (2012) Carotid-anterior cerebral artery anastomosis on MR angiography: a university hospital-based study. Neuroradiology 54(1):13–18CrossRefPubMed Uchino A, Saito N, Okada Y, Inoue K (2012) Carotid-anterior cerebral artery anastomosis on MR angiography: a university hospital-based study. Neuroradiology 54(1):13–18CrossRefPubMed
10.
go back to reference Uchino A, Saito N, Takahashi M, Kozawa E, Mizukoshi W, Nakajima R, Okano N (2013) Persistent dorsal ophthalmic artery and ophthalmic artery arising from the middle meningeal artery diagnosed by MR angiography at 3 T. Surg Radiol Anat 35(9):775–782CrossRefPubMed Uchino A, Saito N, Takahashi M, Kozawa E, Mizukoshi W, Nakajima R, Okano N (2013) Persistent dorsal ophthalmic artery and ophthalmic artery arising from the middle meningeal artery diagnosed by MR angiography at 3 T. Surg Radiol Anat 35(9):775–782CrossRefPubMed
11.
go back to reference Wong ST, Yuen SC, Fok KF, Yam KY, Fong D (2008) Infraoptic anterior cerebral artery: review, report of two cases and an anatomical classification. Acta Neurochir (Wien) 150(10):1087–1096CrossRef Wong ST, Yuen SC, Fok KF, Yam KY, Fong D (2008) Infraoptic anterior cerebral artery: review, report of two cases and an anatomical classification. Acta Neurochir (Wien) 150(10):1087–1096CrossRef
Metadata
Title
Left carotid-anterior cerebral artery anastomosis diagnosed by MR angiography: a case report
Authors
Nanami Okano
Akira Uchino
Naoko Saito
Hajime Maruyama
Publication date
01-04-2015
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 3/2015
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-014-1358-7

Other articles of this Issue 3/2015

Surgical and Radiologic Anatomy 3/2015 Go to the issue