Abstract
We herein report a case of multiple variations, including (1) anterior communicating artery duplication, (2) accessory anterior cerebral artery (ACA), (3) distal origin right accessory middle cerebral artery (MCA) with bifurcation, (4) proximal origin left accessory MCA with bifurcation, (5) right superior cerebellar artery (SCA) duplication, and (6) left SCA early bifurcation. These variations were found incidentally by magnetic resonance (MR) angiography. Volume-rendering images of MR angiography were more useful than maximum-intensity-projection images for identifying these variations, especially bilateral accessory MCAs, which were superimposed with the A1 segment of the ACAs and the M1 segment of the MCAs.
Similar content being viewed by others
References
Arslan EB, Oztürk A, Oğuz KK (2007) Incidental bilateral accessory middle cerebral arteries on MR imaging and MR angiography. Diagn Interv Radiol 13:10–12
Bharatha A, Aviv RI, White J, Fox AJ, Symons SP (2008) Intracranial arterial fenestrations: frequency on CT angiography and association with other vascular lesions. Surg Radiol Anat 30:397–401
Guarnizo A, Marin Muñoz J (2021) Anterior cerebral artery trifurcation with infraoptic origin and contralateral A1 segment absence. Surg Radiol Anat. https://doi.org/10.1007/s00276-021-02855-x
Kalamatianos T, Antonopoulos I, Piagkou M, Natsis K, Chrissicopoulos C, Stranjalis G (2022) A distal anterior cerebral artery tripod branching to a bihemispheric pericallosal artery. Surg Radiol Anat. https://doi.org/10.1007/s00276-021-02879-3
Komiyama M, Nakajima H, Nishikawa M, Yasui T (1998) Middle cerebral artery variations: duplicated and accessory arteries. AJNR Am J Neuroradiol 19:45–49
Krzyżewski RM, Tomaszewski KA, Kochana M, Kopeć M, Klimek-Piotrowska W, Walocha JA (2015) Anatomical variations of the anterior communicating artery complex: gender relationship. Surg Radiol Anat 37:81–86
Narducci A, Ronchetti G, Nannucci F, Vaudano GP, Griva F (2019) Infundibulum of accessory anterior cerebral artery: rare, likely benign malformation of anterior communicating artery complex to keep in mind. World Neurosurg 132:399–402
Uchino A, Kato A, Takase Y, Kudo S (2000) Middle cerebral artery variations detected by magnetic resonance angiography. Eur Radiol 10:560–563
Uchino A, Nomiyama K, Takase Y, Kudo S (2006) Anterior cerebral artery variations detected by MR angiography. Neuroradiology 48:647–652
Uchino A, Saito N, Kozawa E, Masutani S (2017) Multiple variations of the cerebral arteries associated with tetralogy of Fallot: a case report. Surg Radiol Anat 39:1161–1164
Uchino A, Saito N, Uehara T, Neki H, Kohyama S, Yamane F (2016) True fenestration of the anterior communicating artery diagnosed by magnetic resonance angiography. Surg Radiol Anat 38:1095–1098
Uchino A, Sawada A, Takase T, Kudo S (2003) Variations of the superior cerebellar artery: MR angiographic demonstration. Radiat Med 21:235–238
Ureña FM, Ureña JGM, Almeida S, Rabelo NN, da Silva JR, Mandel M, Teixeira MJ, Figueiredo EG (2020) Anterior communicating artery duplication associated with a triplication of anterior cerebral artery—a rare anatomical variation. Surg Neurol Int 11:36
Yanaka K, Shirai S, Shibata Y, Nose T (2000) Ruptured aneurysm at the origin of the median artery of the corpus callosum associated with accessory middle cerebral artery—case report. Neurol Med Chir (Tokyo) 40:511–514
Author information
Authors and Affiliations
Contributions
AU carried out the study design and drafted the manuscript. All authors reviewed the manuscript critically, and have read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
We declare that we have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Uchino, A., Nakadate, M. Multiple cerebral arterial variations incidentally detected by magnetic resonance angiography: a case report. Surg Radiol Anat 44, 411–414 (2022). https://doi.org/10.1007/s00276-022-02891-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-022-02891-1