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Dual origin of vertebral artery and intimal relationship with spontaneous artery dissection: a case report and systematic review

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Abstract

Dual origin of the vertebral artery (VA) is an uncommon anatomical variation. We describe a case of duplication origin at right vertebral artery (RVA) found incidentally in one elderly patient on investigation for cerebral aneurysm. Angiogram study showed a pseudoaneurysm at V4 segment of the RVA associated with embryological anatomy. The authors performed a systematic review of the similar cases reported worldwide.

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Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Universidade do Estado do Pará (UEPA), Campus IV, CCBS, Tv. Perebebuí, 2623, Marco, Belém, PA, 66087-662, Brazil

    Derik Williams Barros do Nascimento, Rafaella Macêdo Monteiro da Cruz & Gabriel Gomes Diniz Pimenta

  2. Hospital Ophir Loyola, Av. Magalhães Barata, 992, São Braz, Belém, PA, 66060-281, Brazil

    Fernando Mendes Paschoal Jr, Antônio de Mattos Lima Neto, José Reginaldo Nascimento Brito, Bruno Sérgio Vilhena, José Antônio Santos de Lima & Eric Homero Albuquerque Paschoal

  3. Neurological Surgery Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, São Paulo, SP, 05403-000, Brazil

    Fernando Mendes Paschoal Jr, Edson Bor-Seng-Shu, Eberval Gadelha Figueiredo, Manoel Jacobsen Texeira & Eric Homero Albuquerque Paschoal

  4. Grupo Amazônia Neurovascular, CNPq/Universidade Federal do Pará (UFPA), Complexo Hospitalar Universitário, Hospital João de Barros Barreto, Belém, PA, Brazil

    Fernando Mendes Paschoal Jr, Antônio de Mattos Lima Neto, Vanessa Alburquerque Paschoal Aviz Bastos, José Reginaldo Nascimento Brito, Manoel Jacobsen Texeira & Eric Homero Albuquerque Paschoal

  5. Av Dr Arnaldo, São Paulo, SP, Brazil

    Eberval Gadelha Figueiredo

Authors
  1. Derik Williams Barros do Nascimento
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  2. Rafaella Macêdo Monteiro da Cruz
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  3. Gabriel Gomes Diniz Pimenta
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  4. Fernando Mendes Paschoal Jr
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  7. José Reginaldo Nascimento Brito
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  11. Eberval Gadelha Figueiredo
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  12. Manoel Jacobsen Texeira
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  13. Eric Homero Albuquerque Paschoal
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Contributions

DWBN, RMMC, GGDP; introduction: DWBN, RMMC, GGDP, FMPJ, AMLN; methods: VAPAB, JRNB, EHAP; case report: DWBN, RMMC, GGDP; discussion: DWBN, RMMC, GGDP, EB-S-S, EGF,MT, EHAP; references: BSV, JASL, EB-S-S, EGF, MJT; figure e table: BSV, JASL; the first draft of the manuscript was written by DWBN and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Eberval Gadelha Figueiredo.

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do Nascimento, D.W.B., da Cruz, R.M.M., Pimenta, G.G.D. et al. Dual origin of vertebral artery and intimal relationship with spontaneous artery dissection: a case report and systematic review. Surg Radiol Anat 43, 459–465 (2021). https://doi.org/10.1007/s00276-020-02638-w

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  • DOI: https://doi.org/10.1007/s00276-020-02638-w

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