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Published in: Surgical and Radiologic Anatomy 8/2013

01-10-2013 | Anatomic Variations

Duplicate origin of the posterior communicating artery diagnosed by magnetic resonance angiography

Authors: Akira Uchino, Kouhei Kamiya, Chihiro Suzuki

Published in: Surgical and Radiologic Anatomy | Issue 8/2013

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Abstract

Extremely rarely, a posterior communicating artery (PCoA) of “duplicate origin” occurs when two branches of the PCoA arise separately from the supraclinoid segment of the internal carotid artery (ICA) and quickly fuse to form an arterial ring. Three such cases previously reported were described as “fenestration.” We report the case of this rare variation diagnosed by magnetic resonance angiography and discuss the differentiation of PCoA of duplicate origin from PCoA fenestration, supraclinoid ICA fenestration, and hyperplastic anterior choroidal artery.
Literature
1.
go back to reference Baba S, Fukuda Y, Mizota S, Hayashi K, Suyama K, Nagata I (2010) Fusiform aneurysm associated with fenestration of the posterior communicating artery: case report. Neurol Med Chir (Tokyo) 50:568–570CrossRef Baba S, Fukuda Y, Mizota S, Hayashi K, Suyama K, Nagata I (2010) Fusiform aneurysm associated with fenestration of the posterior communicating artery: case report. Neurol Med Chir (Tokyo) 50:568–570CrossRef
2.
go back to reference Basheer N, Kasliwal MK, Suri A (2009) Posterior communicating artery aneurysm associated with duplicated posterior communicating artery and bilateral fetal posterior cerebral arteries. Neurol India 57:514–515PubMedCrossRef Basheer N, Kasliwal MK, Suri A (2009) Posterior communicating artery aneurysm associated with duplicated posterior communicating artery and bilateral fetal posterior cerebral arteries. Neurol India 57:514–515PubMedCrossRef
3.
go back to reference Bharatha A, Aviv RI, White J, Fox AJ, Symons SP (2008) Intracranial arterial fenestrations: frequency on CT angiography and association with other vascular lesions. Surg Radiol Anat 30:397–401PubMedCrossRef Bharatha A, Aviv RI, White J, Fox AJ, Symons SP (2008) Intracranial arterial fenestrations: frequency on CT angiography and association with other vascular lesions. Surg Radiol Anat 30:397–401PubMedCrossRef
4.
go back to reference Bharatha A, Fox AJ, Aviv RI, Symons SP (2007) CT angiographic depiction of a supraclinoid ICA fenestration mimicking aneurysm, confirmed with catheter angiography. Surg Radiol Anat 29:317–321PubMedCrossRef Bharatha A, Fox AJ, Aviv RI, Symons SP (2007) CT angiographic depiction of a supraclinoid ICA fenestration mimicking aneurysm, confirmed with catheter angiography. Surg Radiol Anat 29:317–321PubMedCrossRef
5.
go back to reference Hashimoto M, Urasaki E, Tsujigami S, Yokota A (2002) Ruptured aneurysm associated with partially duplicated posterior communicating artery: case report. Neurol Med Chir (Tokyo) 42:23–26CrossRef Hashimoto M, Urasaki E, Tsujigami S, Yokota A (2002) Ruptured aneurysm associated with partially duplicated posterior communicating artery: case report. Neurol Med Chir (Tokyo) 42:23–26CrossRef
6.
go back to reference Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–261 Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–261
7.
go back to reference Plumb AA, Herwadkar A, Pickett G (2010) Incidental finding of fenestration of the supraclinoid internal carotid artery with appearances on magnetic resonance angiography. Surg Radiol Anat 32:165–169PubMedCrossRef Plumb AA, Herwadkar A, Pickett G (2010) Incidental finding of fenestration of the supraclinoid internal carotid artery with appearances on magnetic resonance angiography. Surg Radiol Anat 32:165–169PubMedCrossRef
8.
go back to reference Takahashi S (2010) Thalamotuberal artery. In: Takahashi S (ed) Neurovascular imaging. MRI and microangiography. Springer, Berlin, pp 92–95 Takahashi S (2010) Thalamotuberal artery. In: Takahashi S (ed) Neurovascular imaging. MRI and microangiography. Springer, Berlin, pp 92–95
9.
go back to reference Tripathi M, Goel V, Padma MV, Jain S, Maheshwari MC, Gaikwad S, Gupta V, Chandra PS, Mehta VS (2003) Fenestration of the posterior communicating artery. Neurol India 51:75–76PubMed Tripathi M, Goel V, Padma MV, Jain S, Maheshwari MC, Gaikwad S, Gupta V, Chandra PS, Mehta VS (2003) Fenestration of the posterior communicating artery. Neurol India 51:75–76PubMed
10.
go back to reference Uchino A, Saito N, Okada Y, Nakajima R (2012) Duplicate origin and fenestration of the middle cerebral artery on MR angiography. Surg Radiol Anat 34:401–404PubMedCrossRef Uchino A, Saito N, Okada Y, Nakajima R (2012) Duplicate origin and fenestration of the middle cerebral artery on MR angiography. Surg Radiol Anat 34:401–404PubMedCrossRef
11.
go back to reference Yasargil MG (1984) Microneurosurgery: microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms, vol 1. Stuttgart, Georg Thieme Verlag, pp 60–66 Yasargil MG (1984) Microneurosurgery: microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms, vol 1. Stuttgart, Georg Thieme Verlag, pp 60–66
Metadata
Title
Duplicate origin of the posterior communicating artery diagnosed by magnetic resonance angiography
Authors
Akira Uchino
Kouhei Kamiya
Chihiro Suzuki
Publication date
01-10-2013
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 8/2013
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-013-1095-3

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