Types of the cerebral arterial circle (circle of Willis) in a Sri Lankan population

K Ranil D De Silva1, Rukmal Silva, Dhammika Amaratunga

  • 1Department of Anatomy, University of Sri Jayewardenepura, Nugegoda, Sri Lanka. ranilds@sltnet.lk

BMC Neurology
|January 19, 2011
PubMed

Insights

Anatomical variations of the circle of Willis are common across ethnic groups. This study identified 15 known and one new variation in Sri Lankan cadavers, highlighting significant inter-ethnic differences.

Area of Science:

  • Neuroanatomy
  • Vascular Anatomy
  • Human Anatomy

Background:

  • Variations in the circle of Willis (CW) impact collateral circulation and stroke risk.
  • Understanding CW anatomy is crucial for assessing cerebrovascular disease risk.

Purpose of the Study:

  • To investigate anatomical variations of the circle of Willis (CW) in Sri Lankan cadavers.
  • To compare the prevalence of CW variations with international autopsy studies.

Main Methods:

  • External diameters of CW arteries were measured in 225 Sri Lankan adult cadavers.
  • Statistical analyses (chi-squared, correspondence analysis) compared CW variation frequencies across diverse ethnic populations.

Main Results:

  • Fifteen previously described CW variations and one new type were identified.
  • Significant differences in CW variation prevalence were observed between ethnic groups (p < 0.0001).
  • Notable variations included hypoplastic arteries (A1, P1, PcoA) and the anterior communicating artery (AcoA).

Conclusions:

  • Significant intra- and inter-ethnic variations exist in the circle of Willis.
  • Further research is needed with standardized measurement methods and hypoplasia definitions.
Abstract

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