DOI QR코드

DOI QR Code

Infraoptic Course of Both Anterior Cerebral Arteries

  • Ji, Cheol (Department of Neurosurgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ahn, Jae-Geun (Department of Neurosurgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea)
  • Published : 2010.01.28

Abstract

A 28-year-old woman was referred to our hospital with a sudden, very severe headache. Brain computed tomographic angiography showed a saccular cerebral aneurysm at the bifurcation of the left middle cerebral artery and infraoptic courses of both anterior cerebral arteries. The anterior cerebral arteries were seen to arise from the ipsilateral internal cerebral arteries at the level of the origin of the ophthalmic artery, passed underneath the ipsilateral optic nerve, and turned upward at ventral portion of the optic chiasm. Infraoptic course of the proximal anterior cerebral artery is an extremely rare anomaly and is often associated with cerebral aneurysms. We report the clinical features, radiological findings, and possible genesis of this anomaly with a literature review.

Keywords

References

  1. Bollar A, Martinez R, Gelabert M, Garcia A : Anomalous origin of the anterior cerebral artery associated with aneurysm-embryological considerations. Neuroradiology 30 : 86, 1988 https://doi.org/10.1007/BF00341953
  2. Brismar J, Ackerman R, Roberson G : Anomaly of anterior cerebral artery-A case report and embryologic considerations. Acta Radiol Diagn (Stockh) 18 : 154-160, 1977
  3. Dawson BH : The blood vessels of the human optic chiasma and their relation to those of the hypophysis and hypothalamus. Brain 81 : 207-217, 1958 https://doi.org/10.1093/brain/81.2.207
  4. Fujimoto S, Murakami M : Anomalous branch of the internal carotid artery supplying circulation of the anterior cerebral artery. Case report. J Neurosurg 58 : 941-946, 1983 https://doi.org/10.3171/jns.1983.58.6.0941
  5. Isherwood I, Dutton J : Unusual anomaly of anterior cerebral artery. Acta Radiol Diagn (Stockh) 9 : 345-351, 1969
  6. Kessler LA : Unusual anomaly of the anterior cerebral artery. Arch Neurol 36 : 509-510, 1979 https://doi.org/10.1001/archneur.1979.00500440079017
  7. Lehmann G, Vincentelli F, Ebagosti A : Anomalies of the circle of Willis : Infraoptic pathway of the anterior cerebral artery: report of a case. Neurochirurgie 26 : 243-246, 1980
  8. McCormick WF : A unique anomaly of the intracranial arteries of man. Neurology 19 : 77-80, 1969 https://doi.org/10.1212/WNL.19.1.77
  9. Milenkovic Z : Anastomosis between internal carotid artery and anterior cerebral artery with other anomalies of the circle of Willis in a fetal brain. J Neurosurg 55 : 701-703, 1981 https://doi.org/10.3171/jns.1981.55.5.0701
  10. Nutik S, Dilenge D : Carotid-anterior cerebral artery anastomosis. Case report. J Neurosurg 44 : 378-382, 1976 https://doi.org/10.3171/jns.1976.44.3.0378
  11. Odake G : Carotid-anterior cerebral artery anastomosis with aneurysm : case report and review of the literature. Neurosurgery 23 : 654-658, 1988 https://doi.org/10.1227/00006123-198811000-00021
  12. Perlmutter D, Rhoton AL Jr : Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg 45 : 259-272, 1976 https://doi.org/10.3171/jns.1976.45.3.0259
  13. Robinson LR : An unusual human anterior cerebral artery. J Anat 93 : 131-133, 1959
  14. Rosenorn J, Ahjgren P, Ronde F : Pre-optic origin of the anterior cerebral artery. Neuroradiology 27 : 275-277, 1985 https://doi.org/10.1007/BF00344501
  15. Senter HJ, Miller DJ : Interoptic course of the anterior cerebral artery associated with anterior cerebral artery aneurysm. Case report. J Neurosurg 56 : 302-304, 1982 https://doi.org/10.3171/jns.1982.56.2.0302
  16. Sheehy JP, Kendall BE, Thomas DG : Infraoptic course of the anterior cerebral artery associated with a pituitary tumor. Surg Neurol 20 : 97-99, 1983 https://doi.org/10.1016/0090-3019(83)90456-1
  17. Singer RJ, Abe T, Taylor WH, Marks MP, Norbash AM : Intracavernous anterior cerebral artery origin with associated artriovenous malformation : a developmental analysis : case report. Neurosurgery 40 : 829-831; discussion 831, 1997 https://doi.org/10.1097/00006123-199704000-00033
  18. Spinnato S, Pasqualin A, Chioffi F, Da Pian R : Infraoptic course of the anterior erebral artery associated with an anterior communicating artery aneurysm : anatomic case report and embryological considerations. Neurosurgery 44 : 1315-1319, 1999
  19. Teal JS, Rumbaugh CL, Segall HD, Bergeron RT : Anomalous branches of the internal carotid artery. Radiology 106 : 567-573, 1973

Cited by

  1. Carotid-anterior cerebral artery anastomosis on MR angiography: a university hospital-based study vol.54, pp.1, 2012, https://doi.org/10.1007/s00234-011-0847-1
  2. Letter to the editor: multimodal treatment of co-existent callosal cavernous malformation and anterior communicating artery aneurysm associated with an infraoptic anterior cerebral artery vol.54, pp.2, 2012, https://doi.org/10.1007/s00234-011-0881-z
  3. Dissecting Aneurysm at the Proximal Segment of the Anterior Cerebral Artery Associated with Infraoptic Course Anterior Cerebral Artery vol.1, pp.1, 2010, https://doi.org/10.2176/nmccrj.2013-0351
  4. An Unruptured Anterior Communicating Artery Aneurysm with Bilateral Infraoptic Anterior Cerebral Arteries. Case Report and Review of the Literature vol.16, pp.4, 2010, https://doi.org/10.7461/jcen.2014.16.4.368
  5. Bilateral carotid-anterior cerebral artery anastomoses associated with bilateral ophthalmic arteries arising from the anastomotic arteries diagnosed by magnetic resonance angiography: a case report vol.40, pp.6, 2010, https://doi.org/10.1007/s00276-017-1953-5
  6. Combination of infraoptic anterior cerebral artery with an aneurysm of the ACA-AcomA complex. Case study and literature review vol.83, pp.4, 2010, https://doi.org/10.17116/neiro20198304182
  7. Surgical significance of infra-optic course of A1 segment of anterior cerebral artery: Report of two cases vol.14, pp.3, 2019, https://doi.org/10.4103/ajns.ajns_34_19
  8. A Ruptured Anterior Communicating Artery Aneurysm with Infra-optic Course of the Anterior Cerebral Artery: A Case Report and a Short Review vol.8, pp.1, 2010, https://doi.org/10.2176/nmccrj.cr.2020-0359