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
Neuroradiology
Published in: Neuroradiology 9/2014

01-09-2014 | Interventional Neuroradiology

The recurrent artery of Heubner in routine selective cerebral angiography

Authors: Francesco Ambesi Impiombato, Gerasimos Baltsavias, Antonios Valavanis

Published in: Neuroradiology | Issue 9/2014

Login to get access

Abstract

Introduction

Heubner’s recurrent artery (RAH) in brain selective catheter angiograms (digital subtraction angiography, DSA) was evaluated.

Methods

Bilateral cerebral angiograms with antero-posterior, lateral and oblique frontal views were obtained in 100 neurological patients aged from 5 to 90 years. Site of origin, type of course and branching of the RAH were studied. Three groups were obtained: arteries with solely the horizontal segment visible, horizontal and vertical segments visible and horizontal and vertical with intraparenchymal branches visible.

Results

A total of 24 RAHs were recognised in 20 patients: 7 arose from the A1, 5 from the anterior cerebral artery (ACA)-anterior communicating artery (Acom), 11 from the A2, whereas in 1 case, the segment of origin from the ACA could not be identified. Seventeen arteries arose from the lateral wall of the ACA and seven from the superior wall of the A1 segment of the ACA. The RAH was bilaterally seen in 3 patients and unilaterally in 17 with one double RAH. Five RAHs were visible only after contrast injection in the contralateral internal carotid artery. A horizontal segment was visible in 7 arteries, a horizontal followed by a vertical segment without visible intraparenchymal branching pattern was seen in 6 and a horizontal and vertical segment with visible intraparenchymal branching pattern was seen in 11. In five, the artery made a half loop with an inferior-convex curve just before the vertical segment, and in two cases, a full loop was observed.

Conclusion

The RAH was recognised in 12 % of the hemispheres of the present series of neurological patients studied with DSA.
Literature
1.
Yasargil MG (1982) Cerebral angiography, 2nd edn. Thieme, New York, p 85
2.
Heubner O (1872) On the topography of the nutritional zones of the individual brain arteries. Zentrabl Med Wiss 10:817–821
3.
Loukas M, Louis RG, Childs RS (2006) Anatomical examination of the recurrent artery of Heubner. Clin Anat 19:25–31PubMedCrossRef
4.
Ostrowski AZ, Webster JE, Gurdjian ES (1960) The proximal anterior cerebral artery: an anatomic study. Arch Neurol 3:661–664PubMedCrossRef
5.
Wojciech G, Mohr G (1987) Microvascular anatomy of Heubner’s recurrent artery. Neurol Res 9:259–264
6.
Kaplan HA, Krieger AJ (1980) Vascular anatomy of the preoptic region of the brain. Acta Neurochir 54:233–241PubMedCrossRef
7.
Critchley M (1930) The anterior cerebral artery, and its syndromes. Brain 53:120–165CrossRef
8.
Rhoton A, Perlmutter D (1980) Microsurgical anatomy of anterior communicating artery aneurysms. Neurol Res 2:217–251PubMed
9.
Perlmutter D, Rhoton AL (1976) Microsurgical anatomy of the anterior cerebral-artery communicating-recurrent artery complex. J Neurosurg 45:259–272PubMedCrossRef
10.
Petty RG, Bonner D, Mouratoglou V, Silverman M (1996) Acute frontal lobe syndrome and dyscontrol associated with bilateral caudate nucleus infarctions. BJ Psych 168:237–240
11.
Berman SA, Hayman LA, Hinck VC (1980) Correlation of CT cerebral vascular territories with function: I. Anterior cerebral artery. AJR 135:253–257PubMedCrossRef
12.
Westemberg G (1963) The recurrent artery of Heubner and the arteries of the central ganglia. Acta Radiol Diagn (Stockh) 1:949–954
13.
Salomon G, Boudouresques A, Combalbert A, Khalil R, Giudicelli F & G (1966) Les artères lenticulo-striées Etude arteriographique. Leur intérét das le diagnostic des hématomes intracérébraux. Rev Neurol 114 (5): 362-73
14.
Kang HS, Han MH, Kwon BJ, Kwon O, Kim SH, Chang KH (2005) Evaluation of the lenticulostriate arteries with rotational angiography and 3D reconstruction. AJNR Am J Neuroradiol 26:306–312PubMed
15.
16.
Vinas FC, Fandino R, Dujovny M, Chavez V (1994) Microsurgical anatomy of the supratentorial arachnoidal trabecular membranes and cisterns. Neurol Res 16(6):417–424PubMed
17.
Yasargil GM (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. 1st edn. Thieme, New York
18.
Morris P (2013) Practical neuroangiography, 3rd edn. Lippincott Williams & Wilkins, Philadelphia
Metadata
Title
The recurrent artery of Heubner in routine selective cerebral angiography
Authors
Francesco Ambesi Impiombato
Gerasimos Baltsavias
Antonios Valavanis
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
Neuroradiology / Issue 9/2014
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-014-1387-2

Other articles of this Issue 9/2014

Neuroradiology 9/2014 Go to the issue

Interventional Neuroradiology

Woven Endobridge (WEB) Device for endovascular treatment of ruptured intracranial wide-neck aneurysms: a single-center experience

Diagnostic Neuroradiology

Classification and localization of early-stage Alzheimer’s disease in magnetic resonance images using a patch-based classifier ensemble

Paediatric Neuroradiology

Applicability of apparent diffusion coefficient ratios in preoperative diagnosis of common pediatric cerebellar tumors across two institutions

Head and Neck Radiology

Salivary gland tumors of the parotid gland: CT and MR imaging findings with emphasis on intratumoral cystic components

Diagnostic Neuroradiology

Is the type and extent of hippocampal sclerosis measurable on high-resolution MRI?

Interventional Neuroradiology

Brainstem venous congestion after transvenous embolization in cavernous dural arteriovenous fistula: treatment with stent grafts