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Embryological Lateral Striate Artery Variants

Revised Concept of Recurrent Artery of Heubner, the Perforators to the Anterior Perforated Substance and Middle Cerebral Artery Variants

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Abstract

Purpose

The anterior perforating arteries are a group of arteries that enter the brain through the anterior perforated substance (APS). Because the lenticulostriate artery, the recurrent artery of Heubner (RAH) and the perforators from A1 of anterior cerebral artery (ACA) penetrate the APS and supply the basal ganglia, these arteries can be considered as having a common embryological origin.

Results

During development, the lateral striate arteries are divided from the lateral olfactory artery and divided into the RAH and middle cerebral artery (MCA). The RAH is a fascinating artery for its early development and variations of origin and course. The MCA has also several variations, such as the duplicated MCA, accessory MCA, and fenestration.

Conclusion

We provide a review of embryologic development and anatomical variations of the RAH, the perforators to the APS and MCA as a group of the lateral striate artery.

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Abbreviations

ACA:

Anterior cerebral artery

AChA:

Anterior choroidal artery

APS:

Anterior perforated substance

DMSA:

Distal medial striate artery

FPA:

Frontopolar artery

ICA:

Internal carotid artery

MCA:

Middle cerebral artery

mFBA:

Medial frontobasal artery

PMSA:

Proximal medial striate artery

Pu:

Putamen

POA:

Primitive olfactory artery

RAH:

Recurrent artery of Heubner

References

  1. Rosner SS, Rhoton AL Jr, Ono M, Barry M. Microsurgical anatomy of the anterior perforating arteries. J Neurosurg. 1984;61:468–85.

    Article  CAS  PubMed  Google Scholar 

  2. Lasjaunias P, Berenstein A, ter Brugge K. Surgical neuroangiography. 2nd ed. New York: Springer; 2006.

    Book  Google Scholar 

  3. Carlson BM. Human embryology and developmental biology. 5th ed. Elsevier; Philadelphia 2014.

    Google Scholar 

  4. Duckett S. The establishment of internal vascularization in the human telencephalon. Acta Anat. 1971;80:107–13.

    Article  CAS  Google Scholar 

  5. Padget DH. The development of the cranial arteries in the human embryo. Contrib Embryol Carnegie Instn. 1948;32:205–61.

    Google Scholar 

  6. Hambleton G, Wigglesworth J. Origin of intraventricular haemorrhage in the preterm infant. Arch Child Dis. 1976;51:651–9.

    Article  CAS  Google Scholar 

  7. Okudera T, Ohta T, Huang YP, Yokota A. Developmental and radiological anatomy of the superficial cerebral convexity vessels in the human fetus. J Neuroradiol. 1988;15:205–24.

    CAS  PubMed  Google Scholar 

  8. Abbie AA. The Morphology of the Fore-Brain Arteries, with Especial Reference to the Evolution of the Basal Ganglia. J Anat. 1934;68:433–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Yaşargil MG. Microneurosurgery. Vol. 1. New York: Thieme Stratton; 1984.

    Google Scholar 

  10. Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg. 1976;45:259–72.

    CAS  Google Scholar 

  11. Gibo H, Carver CC, Rhoton AL Jr, Lenkey C, Mitchell RJ. Microsurgical anatomy of the middle cerebral artery. J Neurosurg. 1981;54:151–69.

    Article  CAS  Google Scholar 

  12. Marinković SV, Kovacević MS, Marinković JM. Perforating branches of the middle cerebral artery. Microsurgical anatomy of their extracerebral segments. J Neurosurg. 1985;63:266–71.

    Article  CAS  PubMed  Google Scholar 

  13. Gomes F, Dujovny M, Umansky F, Ausman JI, Diaz FG, Ray WJ, Mirchandani HG. Microsurgical anatomy of the recurrent artery of Heubner. J Neurosurg. 1984;60:130–9.

    Article  CAS  PubMed  Google Scholar 

  14. Zunon-Kipré Y, Peltier J, Haïdara A, Havet E, Kakou M, Le Gars D. Microsurgical anatomy of distal medial striate artery (recurrent artery of Heubner). Surg Radiol Anat. 2012;34:15–20.

    Article  PubMed  Google Scholar 

  15. Maga P, Tomaszewski KA, Krzyżewski RM, Golec J, Depukat P, Gregorczyk-Maga I, Skrzat J. Branches and arterial supply of the recurrent artery of Heubner. Anat Sci Int. 2013;88:223–9.

    Article  PubMed  Google Scholar 

  16. Vasović L, Ugrenović S, Jovanović I. Human fetal medial striate artery or artery of Heubner. J Neurosurg Pediatr. 2009;3:296–301.

    Article  PubMed  Google Scholar 

  17. Matsuda W, Sonomura T, Honma S, Ohno S, Goto T, Hirai S, Itoh M, Honda Y, Fujieda H, Udagawa J, Ueda S. Anatomical variations of the recurrent artery of Heubner: number, origin, and course. Anat Sci Int. 2018;93:317–22.

    Article  PubMed  Google Scholar 

  18. Bonasia S, Bojanowski M, Robert T. Embryology and variations of the recurrent artery of Heubner. Neuroradiology. 2020;62:427–37.

    Article  PubMed  Google Scholar 

  19. Tao X, Yu XJ, Bhattarai B, Li TH, Jin H, Wei GW, Ming JS, Ren W, Jiong C. Microsurgical anatomy of the anterior communicating artery complex in adult Chinese heads. Surg Neurol. 2006;65:155–61; discussion 161.

    Article  PubMed  Google Scholar 

  20. Uchiyama N. Anomalies of the Middle Cerebral Artery. Neurol Med Chir (Tokyo). 2017;57:261–6.

    Article  Google Scholar 

  21. Teal JS, Rumbaugh CL, Bergeron RT, Segall HD. Anomalies of the middle cerebral artery: accessory artery, duplication, and early bifurcation. Am J Roentgenol Radium Ther Nucl Med. 1973;118:567–75.

    Article  CAS  Google Scholar 

  22. Komiyama M, Nakajima H, Nishikawa M, Yasui T. Middle cerebral artery variations: duplicated and accessory arteries. AJNR Am J Neuroradiol. 1998;19:45–9.

    CAS  PubMed  Google Scholar 

  23. Gailloud P, Albayram S, Fasel JH, Beauchamp NJ, Murphy KJ. Angiographic and embryologic considerations in five cases of middle cerebral artery fenestration. AJNR Am J Neuroradiol. 2002;23:585–7.

    PubMed  Google Scholar 

  24. Takahashi S, Hoshino F, Uemura K, Takahashi A, Sakamoto K. Accessory middle cerebral artery: is it a variant form of the recurrent artery of Heubner? AJNR Am J Neuroradiol. 1989;10:563–8.

    CAS  PubMed  Google Scholar 

  25. Umansky F, Dujovny M, Ausman JI, Diaz FG, Mirchandani HG. Anomalies and variations of the middle cerebral artery: a microanatomical study. Neurosurgery. 1988;22:1023–7.

    Article  CAS  Google Scholar 

  26. Jain KK. Some observations on the anatomy of the middle cerebral artery. Can J Surg. 1964;7:134–9.

    CAS  PubMed  Google Scholar 

  27. Handa J, Shimizu Y, Matsuda M, Handa H. The accessory middle cerebral artery: report of further two cases. Clin Radiol. 1970;21:415–6.

    Article  CAS  Google Scholar 

  28. Tran-Dinh H. The accessory middle cerebral artery--a variant of the recurrent artery of Heubner (A. centralis longa)? Acta Anat (Basel). 1986;126:167–71.

    Article  CAS  Google Scholar 

  29. Kang HS, Han MH, Kwon BJ, Kwon OK, Kim SH, Chang KH. Evaluation of the lenticulostriate arteries with rotational angiography and 3D reconstruction. AJNR Am J Neuroradiol. 2005;26:306–12.

    PubMed  Google Scholar 

  30. Marinkovic S, Gibo H, Milisavljevic M, Cetkovic M. Anatomic and clinical correlations of the lenticulostriate arteries. Clin Anat. 2001;14:190–5.

    Article  Google Scholar 

  31. Feekes JA, Hsu SW, Chaloupka JC, Cassell MD. Tertiary microvascular territories define lacunar infarcts in the basal ganglia. Ann Neurol. 2005;58:18–30.

    Article  PubMed  Google Scholar 

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Correspondence to Takahiro Ota.

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T. Ota and M. Komiyama declare that they have no competing interests.

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All procedures performed in studies involving human participants or on human tissue were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Ota, T., Komiyama, M. Embryological Lateral Striate Artery Variants. Clin Neuroradiol 31, 73–78 (2021). https://doi.org/10.1007/s00062-020-00978-z

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  • DOI: https://doi.org/10.1007/s00062-020-00978-z

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