Abstract
We report two cases of an extremely long left posterior communicating artery (PCoA) diagnosed by magnetic resonance (MR) angiography. The PCoA arose from the normal point of the supraclinoid internal carotid artery and fused with the posterior cerebral artery (PCA) at its posterior ambient segment, forming an extremely long PCoA and extremely long precommunicating segment of the PCA. To our knowledge, this is the first report of such variation. Careful observation of MR angiographic images is important for detecting rare arterial variations. To identify these anomalous arteries on MR angiography, partial maximum-intensity-projection images are useful.
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References
Avci E, Bademci G, Oztürk A (2005) Posterior communicating artery: from microsurgical, endoscopic and radiological perspective. Minim Invasive Neurosurg 48:218–223
Baba S, Fukuda Y, Mizota S, Hayashi K, Suyama K, Nagata I (2010) Fusiform aneurysm associated with fenestration of the posterior communicating artery. Neurol Med Chir (Tokyo) 50:568–570
Conijin 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 19:2986–2992
Gibo H, Lenkey C, Rhoton AL Jr (1981) Microsurgical anatomy of the supraclinoid portion of the internal carotid artery. J Neurosurg 55:560–574
Gunnal SA, Farooqui MS, Wabale RN (2014) Anatomical variations of the circulus arteriosus in cadaveric humans. Neurol Res Int 2014:687281
Koyama T, Gibo H, Kobayashi S (1998) A large anomalous anterior choroidal artery associated with internal carotid artery-posterior communicating artery aneurysm. Neurosurg Rev 21:299–301
Krabbe-Hartkamp MJ, van der Grond J, de Leeuw FE, de Groot JC, Algra A, Hillen B, Breteler MM, Mali WP (1998) Circle of Willis: morphologic variation on three-dimensional time-of-flight MR angiograms. Radiology 207:103–111
Morandi X, Brassier G, Darnault P, Mercier P, Scarabin JM, Duval JM (1996) Microsurgical anatomy of the anterior choroidal artery. Surg Radiol Anat 18:275–280
Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–261
Takahashi S, Mugikura S (2010) Intracranial arterial system: the main trunks and major arteries of the cerebrum. In: Takahashi S (ed) Neurovascular imaging. MRI and Microangiography, Springer, London, pp 3–51
Takahashi S, Suga T, Kawata Y, Sakamoto K (1990) Anterior choroidal artery: angiographic analysis of variations and anomalies. AJNR Am J Neuroradiol 11:719–729
Uchino A, Kamiya K, Suzuki C (2013) Duplicate origin of the posterior communicating artery diagnosed by magnetic resonance angiography. Surg Radiol Anat 35:741–743
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We thank Rosalyn Uhrig, M.A. for editorial assistance in the preparation of this manuscript.
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Uchino, A., Suzuki, C. & Tanaka, M. Extremely long posterior communicating artery diagnosed by MR angiography: report of two cases. Surg Radiol Anat 37, 565–568 (2015). https://doi.org/10.1007/s00276-014-1413-4
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DOI: https://doi.org/10.1007/s00276-014-1413-4