The persistent fetal carotid-vertebrobasilar anastomoses

Autor: R C Wallace, Thomas A. Tomsick, G Y Luh, B L Dean
Rok vydání: 1999
Předmět:
Zdroj: American Journal of Roentgenology. 172:1427-1432
ISSN: 1546-3141
0361-803X
DOI: 10.2214/ajr.172.5.10227532
Popis: T he primitive trigeminal, otic (acoustic), hypoglossal, and proatlantal intersegmental arteries are persistent fetal anastomoses between the carotid and vertebrobasilar circulations (Fig. 1). These fetal anastomoses emerge at the 4to 5mm embryonic stage, persist for approximately 1 week, and regress at roughly the rate at which the posterior communicating and vertebral arteries develop. The first to disappear, and the rarest, is the otic artery, followed by the hypoglossal artery, the trigeminal artery, and then the proatlantal intersegmental artery. Occasionally, persistence of these vessels is noted after birth and into adult life. The purpose of this pictorial essay is to review the embryology and anatomy of the persistent fetal carotid-vertebrobasilar anastomoses with the emphasis on learning to recognize these on MR angiography. In addition. we report the first case, to our knowledge, of a persistent hypoglossal artery identified on MR angiography.
Databáze: OpenAIRE