A typical course of v3 segment of the right vertebral artery: a case study and literature overview.

IF 1.4 4区医学 Q2 Medicine

Surgical and Radiologic Anatomy Pub Date : 2025-02-21 DOI:10.1007/s00276-025-03578-z

Magdalena Gołuchowska, Sandra A Pilawska, Bartłomiej Łasocha, Tadeusz J Popiela, Borys M Kwinta, Roger M Krzyżewski

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引用次数: 0

Abstract

Purpose: To describe a case of atypical course of V3 segment of the right vertebral artery (VA) that runs through the hypoglossal canal.

Methods: A 60-year-old female was qualified as clinical control group to participate in a clinical trial and two imaging methods in High Field Magnetic Resonance Imaging (1.5T): 3D FFE TOF and 3D T1 MPRAGE were performed.

Results: In this case, the right VA enters the skull abnormally, through the hypoglossal canal. Research has shown that it is presumably a variant of persistent primitive hypoglossal artery (PPHA) or a partial persistence of the PPHA incorporated into the VA. Previous MRI images did not reveal any abnormalities in the structure in the vasculature of the brain, as well.

Conclusion: Proper recognition and analysis of vascular variations are critical to avoid iatrogenic complications or to plan surgery of head or neck regions. Secondly, such anatomic variation may predispose a patient to ischemic attacks due to insufficient blood flow or aneurysms due to a weakened wall or stenosis of the VA.

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右椎动脉v3段典型病程：个案研究及文献综述。

目的：描述一例右椎动脉V3段穿过舌下管的非典型病程。方法：选取60岁女性作为临床对照组参加临床试验，采用高场磁共振成像（1.5T）两种成像方式：3D FFE TOF和3D T1 MPRAGE。结果：本例右VA通过舌下管异常进入颅骨。研究表明，这可能是持续性原始舌下动脉（PPHA）的一种变体，或PPHA部分持续性合并到VA中。先前的MRI图像也未显示大脑血管结构的任何异常。结论：正确认识和分析血管变异对避免医源性并发症或制定头颈部手术计划至关重要。其次，这种解剖变异可能使患者易因血流不足而发生缺血发作，或因血管壁变弱或血管狭窄而发生动脉瘤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical and Radiologic Anatomy Medicine-Pathology and Forensic Medicine

CiteScore

2.40

自引率

14.30%

发文量

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.