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open access eISSN 2093-3673

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Anat Cell Biol

Published online May 31, 2024

https://doi.org/10.5115/acb.24.026

Copyright © Korean Association of ANATOMISTS.

A unilateral partial duplication of a fetal variant posterior cerebral artery associated with anomalous origin of duplicated superior cerebellar artery: a case report

Ehab Mostafa Elzawawy1,2 , Mumen Hamdi Al-Mutori1 , Hadil Salim Al Awaisi1 , Abdulrahman Abdulrahman Al Dagher1 , Mustafa Mohamed Allayeth1 , Hassan Reda Hassan Elsayed1,3

1Department of Anatomy and Neurobiology, College of Medicine and Health Sciences, National University of Science and Technology, Sohar, Oman, 2Department of Anatomy and Embryology, Faculty of Medicine, Alexandria University, Alexandria, 3Department of Anatomy and Embryology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Correspondence to:Hassan Reda Hassan Elsayed
Department of Anatomy and Neurobiology, College of Medicine and Health Sciences, National University of Science and Technology, Sohar 321, Oman
E-mail: hasan_reda@yahoo.com

Received: January 27, 2024; Revised: April 7, 2024; Accepted: April 9, 2024

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Variations at the junction of embryonic internal carotid and vertebrobasilar systems are rare and associated with a high incidence of stroke. During cadaver dissection, we demonstrated for the first time a case of hypoplastic right vertebral artery associated with partial duplication of the distal part of the right P1 segment of a partial fetal posterior cerebral artery (FPCA) and bilateral duplication of superior cerebellar arteries (SCAs), of which, the upper right SCA originated from PCA. We hypothesize that the poor development of the right half of the vertebrobasilar system caused the persistence of FPCA with anomalous origin of the right upper SCA as well as partial duplication of P1 segment of PCA as a remnant of the weak anastomosis between the embryonic right PCA and the basilar system. Such complex variations provide a huge challenge in their diagnosis and in choosing the suitable treatment modality for the stroke.

Keywords: Posterior communicating artery, Hypoplastic, Posterior cerebral artery, Superior cerebellar artery, Variation

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