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Cranial Vessel Embryology and Imaging Anatomy

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Clinical Neuroradiology

Abstract

The brain vascularization is extremely complex with a large range of possible vascular variants, providing for each individual an exclusive arterial and venous system configuration.

The overview of the arterial and venous brain vascular development presented is essential for the understanding of some vascular dispositions, such as the persistence of embryonic vessels/vascular patterns and complex vascular malformations, like the metameric syndromes.

The review of the fundamental aspects of the arterial circulation, including the description of the anterior and posterior circulation, arterial variants, and territories, provides the basis for the understanding of the diseases later discussed in other chapters.

The intracranial venous system is also overviewed, encompassing the dural sinus anatomy, the supratentorial and infratentorial superficial and deep venous anatomy, and the venous anastomosis. The development venous anomalies and sinus pericrannii are also discussed.

Radiology has contributed tremendously for the recent advances in brain vascular anatomy knowledge using the acquisition of high-resolution 3D DSA images and supraselective catheterization during endovascular procedures. Clinical neuroradiology plays a major role for the evaluation of brain vascular anatomy that is essential for the diagnosis and treatment (surgical or endovascular) of vascular diseases.

This publication is endorsed by: European Society of Neuroradiology (www.esnr.org).

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Abbreviations

AA:

Aortic arch

ACA:

Anterior cerebral artery(ies)

AChA:

Anterior choroidal artery(ies)

ACommA:

Anterior communicating artery

AICA:

Anterior-inferior Cerebellar artery(ies)

Ang-1:

Angiopoietin-1

AV:

Arterio-venous

AVM:

Arterio-venous malformation

BA:

Basilar artery

bFGF:

Basic fibroblast growth factor

CAMS:

Cerebrofacial arteriovenous metameric syndromes

CMS:

Cerebrofacial metameric syndromes

CoW:

Circle of Willis

CT:

Computed tomography

CTV:

computed tomography venogram

CVMS:

Cerebrofacial venous metameric syndromes

DSA :

Digital subtraction angiogram

DVA:

Development venous anomalies

ECA:

External carotid artery(ies)

ICA:

Internal carotid Artery(ies)

LPChA:

Lateral posterior choroidal artery(ies)

MCA:

Middle cerebral artery(ies)

MIP:

Maximum intensity projection

MPChA:

Medial posterior choroidal artery(ies)

MRV:

Magnetic resonance venogram

PCA:

Posterior cerebral artery(ies)

PChA:

Posterior choroidal artery(ies)

PCommA:

Posterior communicating artery(ies)

PDGF:

Platelet derived growth factor

PHACES:

Posterior cranial fossa malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and abnormalities of the Eye

PICA:

Posterior-inferior cerebellar artery(ies)

SAMS:

Spinal arteriovenous metameric syndromes

SCA:

Superior cerebellar artery(ies)

SMCs:

Smooth muscle cells

SP:

Sinus pericranii

SWI:

Susceptibility weighted image

TA :

Trigeminal artery(ies)

TOF:

Time of flight

VEGF:

Vascular endothelial growth factor

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Correspondence to Pedro Vilela .

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Vilela, P. (2019). Cranial Vessel Embryology and Imaging Anatomy. In: Barkhof, F., Jäger, H., Thurnher, M., Rovira, À. (eds) Clinical Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-68536-6_20

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  • DOI: https://doi.org/10.1007/978-3-319-68536-6_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68535-9

  • Online ISBN: 978-3-319-68536-6

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