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Persistent primitive olfactory artery associated with early bifurcated accessory anterior cerebral artery

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Abstract

Five types of persistent primitive olfactory artery (PPOA), a rare variation of the proximal anterior cerebral artery (ACA), have been reported. Type 1 is most common, generally following an extreme anteroinferior course and taking a hairpin turn before continuing to the distal A2 segment of the ACA. Triple ACAs are a common variation of the A2 segment of the ACA, and a centrally located artery is called an “accessory ACA” or “median artery of the corpus callosum”. This artery usually does not bifurcate or else bifurcates distally and continues to the pericallosal artery. We herein report a 74-year-old woman with type 1 PPOA and early bifurcated accessory ACA, an extremely rare combination of ACA variations, that was diagnosed using magnetic resonance angiography.

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References

  1. Altafulla JJ, Simonds EA, Dupont G, Lachkar S, Litvack Z, Iwanaga J, Tubbs RS (2018) A median artery of the corpus callosum. Cureus 10:

    PubMed  PubMed Central  Google Scholar 

  2. Horie N, Morikawa M, Fukuda S, Hayashi K, Suyama K, Nagata I (2012) New variant of persistent primitive olfactory artery associated with a ruptured aneurysm. J Neurosurg 117:26–28

    Article  Google Scholar 

  3. Kim MS, Lee GJ (2014) Persistent primitive olfactory artery: CT angiographic diagnosis and literature review for classification and clinical significance. Surg Radiol Anat 36:663–667

    Article  Google Scholar 

  4. Kornieieva MA, Hadidy AM, Hinno SH (2017) Median pericallosal artery with double proximal origin: case report. Surg Radiol Anat 39:1169–1173

    Article  Google Scholar 

  5. Padget DH (1948) Development of cranial arteries in human embryo. Contrib Embryol 32:205–262

    Google Scholar 

  6. Stefani MA, Schneider FL, Marrone AC, Severino AG, Jackowski AP, Wallace MC (2000) Anatomic variations of anterior cerebral artery cortical branches. Clin Anat 13:231–236

    Article  CAS  Google Scholar 

  7. Sun C, Xv ZD, Yuan ZG, Wang XM, Wang LJ, Liu C (2012) MSCT diagnosis of aneurysms associated with an unusual variant: atypical triplication anterior cerebral artery. Surg Radiol Anat 34:777–780

    Article  CAS  Google Scholar 

  8. Tsuji T, Abe M, Tabuchi K (1995) Aneurysm of a persistent primitive olfactory artery. Case report. J Neurosurg 83:138–140

    Article  CAS  Google Scholar 

  9. Uchino A, Nomiyama K, Takase Y, Kudo S (2006) Anterior cerebral artery variations detected by MR angiography. Neuroradiology 48:647–652

    Article  Google Scholar 

  10. Uchino A, Ohno H, Ogiichi T (2021) Persistent primitive olfactory artery without a hairpin turn. Surg Radiol Anat 43:231–234. https://doi.org/10.1007/s00276-020-02595-4

    Article  PubMed  Google Scholar 

  11. Uchino A, Saito N, Kozawa E, Mizukoshi W, Inoue K (2011) Persistent primitive olfactory artery: MR angiographic diagnosis. Surg Radiol Anat 33:197–201

    Article  Google Scholar 

  12. Yamamoto T, Suzuki K, Yamazaki T, Tsuruta W, Tsurubuchi T, Matsumura A (2009) Persistent primitive olfactory artery aneurysm. Neurol Med Chir 49:303–305

    Article  Google Scholar 

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AU carried out the study design and drafted the manuscript. All authors reviewed the manuscript critically, and have read and approved the final manuscript.

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Correspondence to Akira Uchino.

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Uchino, A., Mochizuki, A. Persistent primitive olfactory artery associated with early bifurcated accessory anterior cerebral artery. Surg Radiol Anat 43, 1731–1733 (2021). https://doi.org/10.1007/s00276-021-02744-3

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  • DOI: https://doi.org/10.1007/s00276-021-02744-3

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