BACKGROUND AND PURPOSE With the increased investigation of cerebral arteries using magnetic resonance angiography in the general population, the detection of unruptured intracranial aneurysms (UIAs) has increased. Understanding the distribution and factors associated with UIAs might be helpful for understanding the pathomechanism. METHODS Subjects who underwent magnetic resonance angiography ...

A rare anomalous origin of the posterior inferior cerebellar artery arising from the internal carotid artery is described. The embryologic explanation postulated is the persistence of a primitive communicating vessel (presegmental artery) between the anterior and posterior circulation.

The azygos anterior cerebral artery is a rare variant, characterized by the absence of the anterior communicating artery and the union of two proximal segments of the anterior cerebral artery, forming a single trunk and ascending through the interhemispheric fissure. The incidence in the population varies from 0.3 to 2%. The presence of occlusion for this vessel causes bifrontal infarcts, with ...

Thrombotic occlusion of the anterior communicating and right anterior cerebral arteries occurred during embolization of an acutely ruptured aneurysm of the anterior communicating artery. Traditional management, including superselective infusion of a fibrinolytic agent, was unsuccessful in reestablishing normal vessel patency. Therefore, an intravenous dose of abciximab was administered. Serial ...

Embryologically, anterior cerebral artery (ACA) takes a medial course in 40-day period. Anterior communicating artery develops after 4 days. Along with the development of corpus callosum, ACAs course in a frontal caudal direction [1]. ACA arises from the internal carotid artery distal to the carotid siphon, crosses the anterior perforating substance. It gives off small medial striate vessels an...

Inadvertent occlusion of the anterior choroidal artery during aneurysm clipping can cause a disabling stroke in minutes. We evaluate the clinical utility of direct cortical motor evoked potential (MEP) monitoring during aneurysm clipping, as a real-time assessment of arterial patency, prior to performing indocyanine green videoangiography.   Direct cortical MEPs were recorded in seven patients ...

During the cerebral dissection of a 67-year-old male cadaver, a unique combination of variations at the circle of Willis and anterior cerebral artery (ACA) distribution were encountered. The A1 segment of both ACA were fused without an anterior communicating artery (ACoA), forming an X shape and giving rise to a common pericallosal artery (CPA), an incomplete distal ACA, and an incomplete dista...

one method of treating ruptured anterior communicating aneurysms is presented. this permits early clipping through a bifrontal flap. key branches of the circle of willis are temporarily occluded by special removable clips before exposing and permanently clipping the aneurysm. this requires the use of hypothermia at 28'0. and other technical aids described. the risk of a fatal recurrent hemorrha...