The Geometry of the Circle of Willis Anatomical Variants as a Potential Cerebrovascular Risk Factor

Raluca Pascalau1, Vlad Adrian Padurean, Dana Bartos

  • 1"Iuliu Hatieganu" University of Medicine and Pharmacy, Faculty of Medicine, Cluj-Napoca, Romania.

Turkish Neurosurgery
|February 28, 2018
PubMed

Insights

Anatomical variations in the circle of Willis, particularly hypoplastic arteries, can increase the risk of cerebrovascular diseases like aneurysms and atherosclerosis due to altered blood flow dynamics.

Area of Science:

  • Neuroscience
  • Anatomy
  • Biomedical Engineering

Background:

  • The circle of Willis is a critical arterial network at the base of the brain.
  • Anatomical variations in this structure are common and may influence cerebrovascular health.

Purpose of the Study:

  • To correlate anatomical variants of the circle of Willis with hemodynamic and geometrical parameters.
  • To investigate the role of these variants in the pathogenesis of neurological diseases.

Main Methods:

  • Dissection and measurement of the circle of Willis and proximal arteries in ten human brains.
  • Systematization of anatomical variants using descriptive statistics.
  • Development of mathematical models for brain perfusion and wall shear stress.

Main Results:

  • Eighty percent of brains showed asymmetries, notably in posterior communicating (70%) and anterior cerebral (40%) arteries.
  • Posterior circulation exhibited more variations (65.21%); nine hypoplastic vessels were found.
  • Mathematical models indicated that circle of Willis geometry, especially with hypoplastic arteries, is a risk factor for aneurysms and atherosclerosis.

Conclusions:

  • Anatomical variants of anterior and posterior circulations were described.
  • The study elucidated the specific effects of these variants on the hemodynamic balance of cerebral blood flow.
Abstract

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