Posterior inferior cerebellar artery with an extradural origin from the V3 segment: higher incidence on the nondominant vertebral artery

Isaji, Taiki; Yasuda, Muneyoshi; Kawaguchi, Reo; Aoyama, Masahiro; Niwa, Aichi; Nakura, Takahiro; Matsuo, Naoki; Takayasu, Misako

doi:10.3171/2017.5.spine161286

Cited by 20 publications

(10 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An extradural origin PICA from the VA is not rare. The frequency of an extradural origin of the PICA ranges from 0.4% to 20.8% 1 , 4 , 12 , 18 , 19 , 22 - 25 . The extradurally located PICAs are exposed to injury during posterior approaches to the lower brainstem and upper cervical spine.…”

Section: Introductionmentioning

confidence: 99%

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Miao¹,

Zhang²,

Wang³

et al. 2020

Int. J. Med. Sci.

View full text Add to dashboard Cite

The posterior inferior cerebellar artery (PICA), with its unique anatomical complexity, is of great clinical importance and involved in many diseases including aneurysm, ischemic stroke, neurovascular compression syndrome (NVCS), arteriovenous malformation (AVM), and brain tumor. However, a comprehensive systematic review of the importance of the PICA is currently lacking. In this study, we perform a literature review of PICA by searching all the associated papers in the PUBMED database hoping to provide a better understanding of the artery. The PICA has tortuous and variable course and territory, divided into 5 segments. Various aneurysms involving PICA were not uncommon, of which the treatment is challenging. The PICA infarct typically manifests lateral medullary syndrome (LMS) and is more likely to cause mass effects. The PICA frequently compresses the medulla and the cranial nerves resulting in various neurovascular compression syndromes (NVCS). Arteriovenous malformation (AVM) fed by PICA are associated with aneurysm and dissection which have high risk of rupture and worse outcome. PICA injured by head trauma can cause fatal SAH. VA terminating in PICA probably cause Bow hunter's syndrome (BHS). The PICA supplies many brain tumors and can be used in intracerebellar chemotherapy. The PICA can be exposed and injured during surgeries especially in telovelar approach, and it also plays an important role in bypass surgeries, hinting the surgical importance of PICA. In conclusion, PICA is very important in clinical practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Miao¹,

Zhang²,

Wang³

et al. 2020

Int. J. Med. Sci.

View full text Add to dashboard Cite

show abstract

“…Due to the different reference populations, the prevalence of the arcuate foramen is highly variable (Table 1). A study from Japan analyzed 153 CTA images and showed a prevalence of 12.0% 8 . Four studies that focused on Korean individuals demonstrated a prevalence of 7.1%–26.0% in the CT scan group and 6.96%–14.0% in the X‐ray group, and the arcuate foramen was more prominent on the left side and in male patients.…”

Section: Discussionmentioning

confidence: 99%

Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review

Wang

Liu

Guo

et al. 2020

Orthopaedic Surgery

View full text Add to dashboard Cite

Background The arcuate foramen is a complete or partial bony bridge over the vertebral artery groove of atlas. The mechanism of the arcuate foramen is not clearly understood. Omission of the arcuate foramen sometimes causes lethal iatrogenic injury during spinal surgery. Case Presentation We describe a patient who was diagnosed with multiple fractures of the cervical vertebrae, arcuate foramen, and right vertebral artery occlusion based on clinical and radiological exams. After conservative treatment, he resumed a normal and productive life. Conclusions Arcuate foramen is a common variation that causes symptoms such as dizziness, headache, and migraine. If the patient does not develop severe symptoms, conservative treatment can achieve very good results without the necessity to remove the bone bridge. When serious symptoms occur, surgical treatment to resect the bony ridges can relieve the symptoms dramatically.

show abstract

“…It typically arises from the intradural vertebral artery but can have an extradural origin as well occurring 5 to 18% of the time. 12 The PICA is divided into four segments, which are the anterior medullary segment, lateral medullary segment, posterior medullary (tonsillar loop) segment, and supratonsillar (cortical) segment. The anterior and lateral medullary segments provide supply to the medulla and the more distal segment branches provide supply to the posterior inferior cerebellum.…”

Section: Vertebrobasilar Systemmentioning

confidence: 99%

“…Of note, the vertebral artery can terminate in PICA approximately 0.2% of the time. 12 In addition, there can be a shared anterior inferior cerebellar artery (AICA)-PICA trunk which is common variant.…”

Section: Vertebrobasilar Systemmentioning

confidence: 99%

Neuroangiography: Review of Anatomy, Periprocedural Management, Technique, and Tips

Case

Kumpe

Roark

et al. 2020

Semin intervent Radiol

View full text Add to dashboard Cite

Neuroangiography (NA) is a minimally invasive procedure used to diagnose patients with neurovascular diseases. Noninvasive imaging has improved dramatically in recent years and is utilized more frequently; however, further evaluation with NA is still required in certain cases. NA indications include intracranial (cerebral aneurysms, arteriovenous malformations, dural arteriovenous fistula, cerebral vasculitis, cerebral vasospasm, ischemic stroke, nontraumatic subarachnoid hemorrhage, intracerebral hemorrhage, Moyamoya, vein of Galen malformation, intracranial tumors, and pseudotumor cerebri) and extracranial (internal and common carotid artery stenosis, vertebral artery stenosis, carotid artery blowout, vertebral artery blowout, epistaxis, oropharyngeal bleeding, and carotid body tumor) pathologies which can help with diagnosis and potential subsequent endovascular treatment. A thorough understanding of normal and variant cervical/cranial vascular anatomy is required. In addition, periprocedural management, catheter technique, equipment needed, and underlying disease pathology are paramount to successful and safe outcomes. This article will review basic neurovascular anatomy, periprocedural management, NA technique, and tips for safe and successful outcomes.

show abstract

Posterior inferior cerebellar artery with an extradural origin from the V3 segment: higher incidence on the nondominant vertebral artery

Cited by 20 publications

References 34 publications

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature

Multiple Fractures of Cervical Vertebrae Combined with Arcuate Foramen and Vertebral Artery Occlusion: A Case Report and Literature Review

Neuroangiography: Review of Anatomy, Periprocedural Management, Technique, and Tips

Contact Info

Product

Resources

About