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An aberrant cerebellar artery originating from the internal carotid artery

  • Anatomic Variations
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Abstract

The aberrant origin of the cerebellar arteries from anterior cerebral circulation is a quite rare vascular variation. Herein, we report a 52-year-old white female with angiographically occult subarachnoid hemorrhage. Left superior and anterior inferior cerebellar arteries were not detected. An aberrant cerebellar artery was noted to arise from the left cavernous internal carotid artery and terminated in the distribution of the ipsilateral superior and anterior inferior cerebellar arteries. This variant artery might likely have resulted from an abnormal regression of fetal anterior-to-posterior circulation connections, and may represent a fetal-type cerebellar artery. A review of the anatomy and clinical significance of the variant is presented.

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References

  1. Ahuja A, Graves VB, Crosby DL, Strother CM (1992) Anomalous origin of the posterior inferior cerebellar artery from the internal carotid artery. AJNR 13:1625–1626

    PubMed  CAS  Google Scholar 

  2. Bykowski J, Jahan R, Pakbaz RS (2011) Variant carotid origin of left anterior inferior cerebellar artery mimicking infarct on angiography. J Neurointervent Surg. doi:10.1136/jnis.2010.003822

  3. Cobb SR, Hieshima GB, Mehringer CM, Grinnell VS, Pribram HW (1983) Persistent trigeminal artery variant. Carotid-anterior inferior cerebellar artery anastomosis. Surg Neurol 19:263–266

    Article  PubMed  CAS  Google Scholar 

  4. Haughton VM, Rosenbaum AE, Pearce J (1978) Internal carotid artery origins of the inferior cerebellar arteries. Am J Roentgenol 130:1191–1192

    CAS  Google Scholar 

  5. Hui MS, Choi WM, Liu HM, Huang KM, Perng HL, Chen LK (1994) Anomalous origin of the posterior inferior cerebellar artery from the pre-cavernous portion of the internal carotid artery-a primitive trigeminal artery variant. Eur J Radiol 19:10–13

    Article  PubMed  CAS  Google Scholar 

  6. Ito J, Takeda N, Suzuki Y, Tekeuchi S, Osugi S, Yoshida Y (1980) Anomalous origin of the anterior inferior cerebellar arteries from the internal carotid artery. Neuroradiology 19:105–109

    Article  PubMed  CAS  Google Scholar 

  7. Jongen JC, Franke CL, Soeterboek AA, Versteege CW, Ramos LM, van Gijn J (2002) Blood supply of the posterior cerebral artery by the carotid system on angiograms. J Neurol 249:455–460

    Article  PubMed  Google Scholar 

  8. Lasjaunias PL, Berenstein A, ter Brugge AG (2006) Surgical neuroangiography, Volume 3: Clinical and Interventional Aspects in Children, 2nd edn. Springer, New York

    Google Scholar 

  9. Manabe H, Oda N, Ishii M, Ishii A (1991) The posterior inferior cerebellar artery originating from the internal carotid artery, associated with multiple aneurysms. Neuroradiology 33:513–515

    Article  PubMed  CAS  Google Scholar 

  10. Naeini RM, De J, Satow T, Benndorf G (2005) Unilateral agenesis of internal carotid artery with ophthalmic artery arising from posterior communicating artery. Am J Roentgenol 184:571–573

    Google Scholar 

  11. Paget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 212:222–227

    Google Scholar 

  12. Raphaeli G, Bandeira A, Mine B, Brisbois D, Lubicz B (2009) A rare variant of persistent trigeminal artery: cavernous carotid-cerebellar artery anastomosis-a case report and a systematic review. Cerebellum 8:445–447

    Article  PubMed  Google Scholar 

  13. Rhee SJ, Kim MS, Lee CH, Lee GJ (2007) Persistent trigeminal artery variant detected by conventional angiography and magnetic resonance angiography: incidence and clinical significance. J Korean Neurosurg Soc 42:446–449

    Article  PubMed  Google Scholar 

  14. Samaniego EA, Dabus G, Andreone V, Linfante I (2010) Rare anatomical variations of persistent trigeminal artery in two patients with non-aneurysmal subarachnoid hemorrhage. J Neurointervent Surg. doi:10.1136/jnis.2010.003665

  15. Scotti G (1975) Anterior inferior cerebellar artery originating from the cavernous portion of the internal carotid artery. Radiology 116:93–94

    PubMed  CAS  Google Scholar 

  16. Siqueira M, Piske R, Ono M, Marino Júnior R (1993) Cerebellar arteries originating from the internal carotid artery. Am J Neuroradiol 14:1229–1235

    PubMed  CAS  Google Scholar 

  17. Shin YS, Kim SY, Kim BM, Park SI (2005) Ruptured aneurysm of the anomalous cerebellar artery originating from internal carotid artery presenting with carotid cavernous fistula: a case report. Am J Neuroradiol 26:1849–1851

    PubMed  Google Scholar 

  18. Teal JS, Rumbaugh CL, Bergeron RT, Scanlan RL, Segall HD (1972) Persistent carotid-superior cerebellar artery anastomosis: a variant of persistent trigeminal artery. Radiology 103:335–341

    PubMed  CAS  Google Scholar 

  19. Tubbs RS, Shoja MM, Shokouhi G, Ashrafian F, Oakes WJ (2007) Unusual origins of accessory pericallosal arteries in man: case report. Surg Radiol Anat 29:313–315

    Article  PubMed  Google Scholar 

  20. Uchino A, Sawada A, Takase Y, Kudo S (2003) Variations of the superior cerebellar artery: MR angiographic demonstration. Radiat Med 21:235–238

    PubMed  Google Scholar 

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Correspondence to Mohammadali M. Shoja.

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Shoja, M.M., Loukas, M., Tubbs, R.S. et al. An aberrant cerebellar artery originating from the internal carotid artery. Surg Radiol Anat 34, 285–288 (2012). https://doi.org/10.1007/s00276-011-0891-x

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  • DOI: https://doi.org/10.1007/s00276-011-0891-x

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