APROPOS OF THE SIMULTANEOUS ABSENCE OF SOME EMBRYOLOGICAL VASCULAR FORERUNNERS AND PERSISTENCE OF OTHER ONES ON THE BRAIN BASE IN LATE ADULTHOOD

Milena Trandafilović, Borisav Stojanović, Dimitrije Đorđević, Ljiljana Vasović

DOI Number
https://doi.org/10.22190/FUMB231210011T
First page
061
Last page
065

Abstract


Associated arterial abnormalities and variations on the brain base were discovered in a cadaveric specimen of the male gender of older life age. This case was found by a retrospective analysis of 388 forensic cases in a common data archive of the authors of this report. Arterial abnormalities were related to the aplasia of (intracranial part) of the right vertebral artery and (large) fenestration of the pre-communicating part of the right posterior cerebral artery. Arterial variations included different morphological statuses such as a special origin, double vessels, and small or oversized caliber. The brain angioarchitecture in the present case was not the base for the aneurysm's development, probably because of the lesser influence of hemodynamic factors on the walls of persistent primitive and definitive arteries, as well as due to good collateral circulation till to the end of the sixth decade of life. 


Keywords

Human cadaver, brain base, arteries, postnatal status, associated variations and abnormalities

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References


Passero SG, Rossi S. Natural history of vertebrobasilar dolichoectasia. Neurology 2008; 70(1):66–72.

Gunnal SA, Farooqui MS, Wabale RN. Study of posterior cerebral artery in human cadaveric brain. Anat Res Int 2015; 2015:681903.

Delion M, Dinomais M, Mercier P. Arteries and veins of the cerebellum. The Cerebellum 2016; 16(5-6):880–912.

Blackburn K, Labranche L, Kalmey J, et al. A case of a single intracranial vertebral artery and cerebral infarct. Folia Morphol (Warsz) 2017; 76(1):134–8.

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 2019; 41(6):707–11.

Vasović L, Trandafilović M, Vlajković S, et al. Anterior cerebral–anterior communicating complex in the postnatal period: from a fenestration to the multiplication of arteries. FU Med Biol 2014; 16(1):1–11.

Uchino A, Saito N, Takahashi M, et al. Variations of the posterior cerebral artery diagnosed by MR angiography at 3 tesla. Neuroradiology 2016; 58(2):141–6.

López-Sala P, Alberdi N, Mendigaña M, et al. Anatomical variants of anterior communicating artery complex. A study by computerized tomographic angiography. J Clin Neurosci 2020; 80:182–7.

Vasović L, Trandafilović M, Vlajković S, et al. Unilateral aplasia versus bilateral aplasia of the vertebral artery: a review of associated abnormalities. Biomed Res Int 2017; 2017:7238672.

Jensen CJ, Shereen R, Tubbs RS, Adler JR. Fenestration in the P1 segment of the posterior cerebral artery. Cureus 2017; 9:e1528.

Vlajković S, Vasović L, Trandafilović M, et al. Fenestration of the posterior cerebral artery. Childs Nerv Syst 2015; 31(3):381–7.

Variation. Stedman’s medical dictionary. 2002. https://www.dictionary.com/browse/variation

Abnormality. Collins English dictionary. 2012. https://www.dictionary.com/browse/abnormalities

Vasović L, Trandafilović M, Jovanović I, et al. Morphology of the cerebral arterial circle in the prenatal and postnatal period of Serbian population. Childs Nerv Syst 2013; 29(12):2249–61.

Omarjee L, Fortrat J-O, Larralde A, et al. Internal carotid artery hypoplasia. A new clinical feature in pseudoxanthoma elasticum. J Stroke 2019; 21(1):108−11.

Pico F, Labreuche J, Gourfinkel-An I, Amarenco P. Basilar artery diameter and 5-year mortality in patients with stroke. Stroke 2006; 37(9):2342–7.

Pacheco Perea E, Lerma C, Flores Batres A, León Guerrero E, Torres Machorro A. Bilateral hypoplasia of the internal carotid artery. Acta Neurol Belg 2023; 123(1):255−7.

Otani N, Wada K, Sakakibara F, et al. A ruptured aneurysm located at a collateral artery that extended from the proximal A2 segment to the M1 segment, associated with an anomalous branch of the anterior choroidal artery and middle cerebral artery hypoplasia: case report. Neurol Med Chir (Tokyo) 2014; 54(3):201–4.

Pentyala S, Sankar DK, Bhanu SP, Kumar SNS. Magnetic resonance angiography of hypoplastic A1 segment of anterior cerebral artery at 3.0-Tesla in Andhra Pradesh population of India. Anat Cell Biol 2019; 52(1):43–7.

Bhanu SP, Pentyala S, Sankar DK. Incidence of hypoplastic posterior communicating artery and fetal posterior cerebral artery in Andhra population of India: a retrospective 3-Tesla magnetic resonance angiographic study. Anat Cell Biol 2020; 53(3):272–8.

Kansal R, Mahore A, Dange N, Kukreja S. Dolichoectasia of vertebrobasilar arteries as a cause of hydrocephalus. J Neurosci Rural Pract 2011; 2(1):62–4.

Ureña FM, Ureña JGM, Almeida S, et al. Anterior communicating artery duplication associated with a triplication of anterior cerebral artery – A rare anatomical variation. Surg Neurol Int 2020; 11:36.

Ballesteros-Acuña LE, Estupiñán HY, Gómez-Torres FA. Morphologic characterisation of the posterior inferior cerebellar artery. A direct anatomic study. Folia Morphol (Warsz) 2022; 81(3):559–66.

Menshawi K, Mohr JP, Gutierrez J. A functional perspective on the embryology and anatomy of the cerebral blood supply. J Stroke 2015; 17(2):144–58.

Raybaud C. Normal and abnormal embryology and development of the intracranial vascular system. Neurosurg Clin N Am 2010; 21(3):399–426.

Padget DH. Designation of the embryonic intersegmental arteries in reference of the vertebral and subclavian stem. Anat Rec 1954; 119(3):349–56.




DOI: https://doi.org/10.22190/FUMB231210011T

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