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Crossed anterior cerebral circulation in the anterior communicating artery complex, first case report with

Eliud Enrique Villarreal-Silva1, Ari Alejandro Martínez López1, Jesús Alberto Morales-Gómez1

  • 1Universidad Autonoma de Nuevo Leon, Servicio de Neurocirugía y Terapia Endovascular Neurológica, Hospital Universitario "Dr. José E. González", Monterrey, Nuevo León, Mexico.

Surgical and Radiologic Anatomy : SRA
|March 22, 2021
PubMed

Insights

A new anterior cerebral artery variant was discovered during carotid angioplasty in a stroke patient. Recognizing this rare cerebral circulation variant is crucial for accurate diagnosis and ruling out pathology.

Area of Science:

  • Neuroscience
  • Vascular Neurology
  • Medical Imaging

Background:

  • Cerebral diagnostic angiography is increasingly utilized for stroke treatment.
  • Carotid angioplasty procedures offer opportunities to identify cerebral vascular variations.

Observation:

  • A novel variant of the anterior cerebral artery complex was identified during a cerebral angiography procedure.
  • The variation presented as crossed circulation within the anterior cerebral artery system.

Findings:

  • The observed variant did not align with previously documented variations in the anterior circulation.
  • A new variant of the anterior cerebral artery complex is proposed based on this case.

Implications:

  • Accurate identification of cerebral circulation variants is essential for differential diagnosis.
  • Understanding rare anatomical variations aids in preventing misdiagnosis of conditions like artery dissection or emboli.
Abstract

Keywords:
Anatomical variantsAnterior Communicating ArteryAnterior cerebral arteryAnterior cross cerebral circulation

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