Skip to main content

Variations of the Vertebral Artery (VA) and Vertebrobasilar Junction (VBJ)

  • Chapter
  • First Online:
Atlas of the Supraaortic Craniocervical Arterial Variations
  • 316 Accesses

Abstract

This chapter includes (1) Anomalous level of entry to the transverse foramen, (2) C2 segmental type VA, (3) C3 segmental type VA, (4) Extracranial and craniovertebral junction VA fenestration, (5) Intracranial VA fenestration and VBJ arterial ring, and (6) VA termination at the posterior inferior cerebellar artery. There are 15 figures and 3 illustrations.

Before either neck surgery or posterior fossa surgery, VA variations should be identified to prevent complications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bruneau M, Cornelius JF, Marneffe V, Triffaux M, George B. Anatomic variations of the V2 segment of the vertebral artery. Neurosurgery. 2006;59[ONS Suppl 1]:ONS-20-4.

    Google Scholar 

  2. Uchino A, Saito N, Takahashi M, Okada Y, Kozawa E, Nishi N, Mizukoshi W, Nakajima R, Watanabe Y. Variations in the origin of the vertebral artery and its level of entry into the transverse foramen diagnosed by CT angiography. Neuroradiology. 2013;55:585–94.

    Article  Google Scholar 

  3. Uchino A, Mochizuki A, Ishihara S. Right vertebral artery entering the third transverse foraman diagnosed by magnetic resonance angiography: a report of two cases. Surg Radiol Anat. 2021;43:455–8.

    Article  Google Scholar 

  4. Yoshida T, Shiga K, Uraoka M, Yoshikawa K, Owada K, Nakagawa M. C2 segmental type of vertebral artery with recurrent embolic strokes. Cerebrovasc Dis. 2005;20:58–61.

    Article  Google Scholar 

  5. Takahashi T, Tominaga T, Hassan T, Yoshimoto T. Cervical cord compression with myelopathy caused by bilateral persistence of the first intersegmental arteries: case report. Neurosurgery. 2003;53:234–7.

    Article  Google Scholar 

  6. Lasjaunias P, Berenstein A, ter Brugge KG. Arterial supply to the posterior fossa central nervous system. In: Lasjaunias P, Berenstein A, ter Brugge KG, editors. Surgical neuro-angiography. Vol. 1. Clinical vascular anatomy and variations. 2nd ed. Berlin: Springer; 2001. p. 224–60.

    Chapter  Google Scholar 

  7. Uchino A, Saito N, Watadani T, Okada Y, Kozawa E, Nishi N, Mizukoshi W, Inoue K, Nakajima R, Takahashi M. Vertebral artery variations at the C1-2 level diagnosed by magnetic resonance angiography. Neuroradiology. 2012;54:19–23.

    Article  Google Scholar 

  8. Uchino A, Saito N, Uemiya N, Sonoda K. Diagnosis of a C3 segmental type of vertebral artery by magnetic resonance angiography: report of two cases. Surg Radiol Anat. 2016;38:873–6.

    Article  Google Scholar 

  9. Uchino A, Saito N, Okada Y, Kozawa E, Nishi N, Mizukoshi W, Inoue K, Nakajima R, Takahashi M. Fenestrations of the intracranial vertebrobasilar system diagnosed by MR angiography. Neuroradiology. 2012;54:445–50.

    Article  Google Scholar 

  10. Uchino A, Sawada A, Takase Y, Kudo S. Extreme fenestration of the right vertebral artery: magnetic resonance angiographic demonstration. Eur Radiol. 2002;12(Suppl 3):S32–4.

    Article  Google Scholar 

  11. Yagi K, Satoh K, Satomi J, Nagahiro S. Primitive vertebrobasilar system associated with a ruptured aneurysm. AJNR Am J Neuroradiol. 2004;25:781–3.

    PubMed  PubMed Central  Google Scholar 

  12. Uchino A, Kato A, Abe M, Kudo S. Association of cerebral arteriovenous malformation with cerebral arterial fenestration. Eur Radiol. 2001;11:493–6.

    Article  CAS  Google Scholar 

  13. Liu IW, Ho BL, Chen CF, Han K, Lin CJ, Sheng WY, Hu HH, Chao AC. Vertebral artery terminating in posterior inferior cerebellar artery: a normal variation with clinical significance. PLoS One. 2017;12:e0175264.

    Article  CAS  Google Scholar 

  14. Nagahata M, Abe Y, Ono S, Hosoya T, Uno S. Surface appearance of the vertebrobasilar artery revealed on basiparallel anatomic scanning (BPAS)-MR imaging: its role for brain MR examination. AJNR Am J Neuroradiol. 2005;26:2508–13.

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Uchino, A. (2022). Variations of the Vertebral Artery (VA) and Vertebrobasilar Junction (VBJ). In: Atlas of the Supraaortic Craniocervical Arterial Variations. Springer, Singapore. https://doi.org/10.1007/978-981-16-6803-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-6803-6_10

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-6802-9

  • Online ISBN: 978-981-16-6803-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics