Cerebral Aneurysms: Are They Associated with Anatomic Variations of Carotid and Main Cerebral Arteries?

Jakub Polak1, Szymon Ciuk2, Iwona Kucybała1

  • 1Department of Radiology, Jagiellonian University Medical College, Kraków, Poland.

World Neurosurgery
|January 15, 2019
PubMed

Insights

Vascular anatomic variants like carotid artery origin variations, hypoplasia, or duplication of cerebral arteries are linked to a higher incidence of cerebral aneurysms. Carotid artery kinking, however, showed no correlation with aneurysm formation.

Area of Science:

  • Vascular anatomy
  • Neurology
  • Radiology

Background:

  • Vascular anatomic variations are common.
  • The link between these variations and life-threatening vascular malformations, such as cerebral aneurysms, is not fully understood.
  • Understanding this correlation is crucial for risk assessment and clinical management.

Purpose of the Study:

  • To investigate the correlation between anatomical variants of carotid and major cerebral arteries and the presence of cerebral aneurysms.
  • To assess specific variants including common carotid artery origin, cerebral artery hypoplasia/duplication, and carotid artery kinking.

Main Methods:

  • Analysis of computed tomography angiography (CTA) scans of 194 patients.
  • Evaluation of common carotid artery origin variations (e.g., bovine arch), cerebral artery hypoplasia or duplication, and internal carotid artery kinking.
  • Statistical analysis to determine the association between these variants and cerebral aneurysms.

Main Results:

  • Cerebral aneurysms were present in 5.7% of patients.
  • Hypoplasia (34.5%) and duplication (2.6%) of major cerebral arteries were significantly associated with cerebral aneurysms (OR=3.175 and OR=18.500, respectively).
  • Alternative aortic arch branching patterns increased the likelihood of cerebral aneurysms (OR=5.903), while carotid artery kinking did not show a significant association (P=0.378).

Conclusions:

  • A clear association exists between specific vascular anatomical variants and the occurrence of cerebral aneurysms.
  • Variants in carotid artery origin and cerebral artery development (hypoplasia, duplication) are important risk factors.
  • Carotid artery kinking is not a predisposing factor for cerebral aneurysm formation.
Abstract

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