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Child's Nervous System
Published in: Child's Nervous System 11/2017

01-11-2017 | Original Paper

The cisternal segment of the anterior choroidal artery: an anatomical study using magnetic resonance imaging

Authors: Satoshi Tsutsumi, Hideo Ono, Yukimasa Yasumoto

Published in: Child's Nervous System | Issue 11/2017

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Abstract

Purpose

The topography of the anterior choroidal artery (AChA) has infrequently been delineated on neuroimages. The present study aimed to explore the cisternal segment of the AChA using magnetic resonance imaging.

Methods

A total of 50 sides of the AChA obtained from 25 patients were included in this study. A constructive interference in steady-state (CISS) sequence was performed in thin-sliced axial sections. Furthermore, the cisternal AChA and relevant neurovascular structures were observed through cadaveric dissections in two heads.

Results

In the cadaveric dissections, all the AChAs were exposed only in the proximal part even after extensive arachnoid dissections and cerebral retraction. In the examinations with the CISS sequence, the original site of the AChA was identified on the right side in 88% and on the left side in 96%. In 70% of the 50 sides, the AChA arose from the posterolateral wall of the internal carotid artery, distally to that of the posterior communicating artery. The cisternal course of the AChA was delineated on the right side in 96% and on the left side in 100%; it crossed over the optic tract in variable manners with the middle third as the most frequent site found in 60% of the sides.

Conclusions

The cisternal AChA shows a morphological variability. The CISS sequence is useful for delineating the cisternal AChA.
Literature
1.
Akar A, Sengul G, Aydin IH (2009) The variation of the anterior choroidal artery: an intraoperative study. Turk Neurosurgery 19(4):349–352
2.
André A, Boch AL, Di Maria F, Nouet A, Sourour N, Clémenceau S, Gabrieli J, Degos V, Zeghal C, Chiras J, Cornu P, Clarençon F (2017) Complication risk factors in anterior choroidal artery aneurysm treatment. Clin Neuroradiol (Mar 20) [Epub ahead of print]
3.
Burmeister HP, Möslein C, Bitter T, Fröber R, Herrmann H, Baltzer PA, Gudziol H, Dietzel M, Guntinas-Lichius O, Kaiser WA (2011) In vivo comparison of water displacement method and 3 Tesla MRI for MR-volumetry of the olfactory bulb: which sequence is appropriate? Acad Radiol 18(10):1233–1240CrossRefPubMed
4.
Conijn MM, Hendrikse J, Zwanenburg JJ, Takahara T, Geerlings MI, Mali WP, Luijten PR (2009) Perforating arteries originating from the posterior communicating artery: a 7.0-Tesla MRI study. Eur Radiol 19(12):2986–2992CrossRefPubMedCentralPubMed
5.
Held P, Fellner C, Fellner F, Seitz J, Graf S, Hilbert M, Strutz J (1997) MRI of inner ear and facial nerve pathology using 3D MP-RAGE and 3D CISS sequences. Br J Radiol 70(834):558–566CrossRefPubMed
6.
Hussein S, Renella RR, Dietz H (1988) Microsurgical anatomy of the anterior choroidal artery. Acta Neurochir 92(1–4):19–28CrossRefPubMed
7.
Kim BM, Kim DI, Shin YS, Chung EC, Kim DJ, Suh SH, Kim SY, Park SI, Choi CS, Won YS (2008) Clinical outcome and ischemic complication after treatment of anterior choroidal artery aneurysm: comparison between surgical clipping and endovascular coiling. AJNR Am J Neuroradiol 29(2):286–290CrossRefPubMed
8.
Marinković S, Gibo H, Brigante L, Nikodijević I, Petrović P (1999) The surgical anatomy of the perforating branches of the anterior choroidal artery. Surg Neurol 52(1):30–36CrossRefPubMed
9.
Masson M, Decroix JP, Henin D, Dairou R, Graveleau P, Cambier J (1983) Anterior choroidal artery syndrome. Clinical and computed tomography study of 4 cases. Rev Neurol (Paris) 139(10):547–552
10.
Morandi X, Brassier G, Darnault P, Mercier P, Scarabin JM, Duval JM (1996) Microsurgical anatomy of the anterior choroidal artery. Surg Radiol Anat 18(4):275–280CrossRefPubMed
11.
Ois A, Cuadrodo-Godia E, Solano A, Perich-Alsina X, Roquer J (2009) Acute ischemic stroke in anterior choroidal artery territory. J Neurol Sci 281(1–2):80–84CrossRefPubMed
12.
Palomeras E, Fossas P, Cano AT, Sanz P, Floriach M (2008) Anterior choroidal artery infarction: a clinical, etiologic and prognostic study. Acta Neurol Scand 118(1):42–47CrossRefPubMed
13.
Qi ST, Fan J, Zhang XA, Pan J (2011) Reinvestigation of the ambient cistern and its related arachnoid membranes: an anatomical study. J Neurosurg 115(1):171–178CrossRefPubMed
14.
Rhoton AL Jr, Fujii K, Fradd B (1979) Microsurgical anatomy of the anterior choroidal artery. Surg Neurol 12(2):171–187PubMed
15.
Takahashi S, Fukasawa H, Ishii K, Sakamoto K (1994) The anterior choroidal artery syndrome. I. Microangiopathy of the anterior choroidal artery. Neuroradiology 36(5):337–339CrossRefPubMed
16.
Tanriover N, Kucukyuruk B, Ulu MO, Isler C, Sam B, Abuzayed B, Uzan M, Ak H, Tuzgen S (2014) Microsurgical anatomy of the cisternal anterior choroidal artery with special emphasis on the preoptic and postoptic subdivisions. J Neurosurg 120(5):1217–1228CrossRefPubMed
17.
Wiesmann M, Yousry I, Seelos KC, Yousry TA (2001) Identification and anatomic description of the anterior choroidal artery by use of 3D-TOF source and 3D-CISS MR imaging. AJNR Am J Neuroradiol 22(2):305–310PubMed
Metadata
Title
The cisternal segment of the anterior choroidal artery: an anatomical study using magnetic resonance imaging
Authors
Satoshi Tsutsumi
Hideo Ono
Yukimasa Yasumoto
Publication date
01-11-2017
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 11/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3525-8

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