Abstract
We present what we believe is the first report of a patient with unilateral hypoplasia of the internal carotid artery with associated ipsilateral anomalous posterior cerebral artery, extremely long and fenestrated P1 segment that was diagnosed on magnetic resonance (MR) angiography. Careful review of MR angiographic images is important to detect rare arterial variations, and partial maximum-intensity-projection images aid their identification on MR angiography.
Similar content being viewed by others
References
Caruso G, Vincentelli F, Rabehanta P, Giudicelli G, Grisoli F (1991) Anomalies of the P1 segment of the posterior cerebral artery: early bifurcation or duplication, fenestration, common trunk with the superior cerebellar artery. Acta Neurochir (Wien) 109:66–71
Lasjaunias P, Berenstein A, ter Brugge KG (2001) The caudal internal carotid artery division. In: Lasjaunias P, Berenstein A, ter Brugge KG (eds) Surgical neuro-angiography, vol 1. Clinical vascular anatomy and variations, 2nd edn. Springer, Berlin, pp 521–562
Lie TA (1968) Congenital anomalies of the carotid arteries. Excerpta Medica, Amsterdam, pp 16–51
Matsuda M, Uchino A, Saito N, Neki H, Kohyama S, Yamane F (2017) Duplicate origin and extremely long P1 segment of the posterior cerebral artery diagnosed by MR angiography. Surg Radiol Anat 39:699–702
Nardone R, Venturi A, Ausserer H, Buffone E, Covi M, Lochner P, Psenner K, Tezzon F (2005) Transient ischemic attacks in two cases of internal carotid artery hypoplasia. Neurol Sci 26:282–284
Padget DH (1944) The circle of Willis. Its embryology and anatomy. In: Dandy WE (ed) Intracranial arterial aneurysms. Comstock Publishing Co Inc., Cornell University, New York, pp 67–90
Uchino A, Saito N, Kohyama S (2015) Agenesis of the internal carotid artery with paraclinoid-supraclinoid anastomosis and basilar artery-posterior communicating artery anastomosis diagnosed by magnetic resonance angiography. Surg Radiol Anat 37:685–687
Uchino A, Saito N, Takahashi M, Okano N, Tanisaka M (2016) Variations of the posterior cerebral artery diagnosed by MR angiography at 3 T. Neuroradiology 58:141–146
Uchino A, Suzuki C, Tanaka M (2015) Extremely long posterior communicating artery diagnosed by MR angiography: report of two cases. Surg Radiol Anat 37:565–568
Zeal AA, Rhoton AL Jr (1978) Microsurgical anatomy of the posterior cerebral artery. J Neurosurg 48:534–559
Acknowledgements
We thank Rosalyn Uhrig, M.A. for her editorial assistance in the preparation of this manuscript.
Author information
Authors and Affiliations
Contributions
AU carried out the study design and drafting of the manuscript. AU, TE, and HK performed data acquisition and made a critical review of the manuscript. All authors have read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
We declare 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., Ehara, T. & Kurita, H. Hypoplasia of the internal carotid artery with associated fenestration and extremely long P1 segment of the ipsilateral posterior cerebral artery diagnosed by MR angiography. Surg Radiol Anat 41, 707–711 (2019). https://doi.org/10.1007/s00276-019-02212-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-019-02212-z