The median nerve maintains a close relationship with the brachial artery in the upper limb. Variability in the formation and distribution of these vessels are frequently encountered during donor body dissections or surgical procedures. This case presents a rare anatomical variation of the brachial artery emerging through an opening in the median nerve. The median nerve formed a small opening without the contribution from additional nerve roots and the remaining vasculature of the upper limb was otherwise normal. An abnormal arrangement of neurovasculature in the arm can cause sensory and motor issues, as well as vascular implications. This variation has clinical signi cance in surgical interventions and potentially daily functioning. To our knowledge, this is the rst report of a small median nerve opening pierced by the brachial artery.

The median nerve maintains a close relationship with the brachial artery in the upper limb. Variability in the formation and distribution of these vessels are frequently encountered during donor body dissections or surgical procedures. This case presents a rare anatomical variation of the brachial artery emerging through an opening in the median nerve. The median nerve formed a small opening without the contribution from additional nerve roots and the remaining vasculature of the upper limb was otherwise normal. An abnormal arrangement of neurovasculature in the arm can cause sensory and motor issues, as well as vascular implications. This variation has clinical significance in surgical interventions and potentially daily functioning. To our knowledge, this is the first report of a small median nerve opening pierced by the brachial artery.