medigraphic.com
ISSN 1025-0255 (Electronic)

2020, Number 1

<< Back Next >>

AMC 2020; 24 (1)

Anatomical features of the origin of the cerebellar arteries

Guillemí-Álvarez NM, Alberti-Vázquez L, Bacallao-Cabrera IS

Language: Spanish
References: 23
Page: 21-30
PDF size: 597.83 Kb.


ABSTRACT

Background: the cerebellar arteries have been described as variable in terms of anatomy; which is quite relevant due to the impact on endovascular therapeutic and surgical complication.
Objective: to characterize the common pattern and anatomical variants of the origin of cerebellar arteries.
Methods: a descriptive study was conducted on 50 human brains obtained from the Legal Department of Amalia Simoni Teaching Hospita, in Camagüey. The cerebellar arterial system of each brain was further dissected.
Results: the back-inferior cerebellar artery arose from the vertebral one in 90 % of samples; vari-ants included five that arose from the basilar artery and five absent; its outer diameter average was 1.6 mm. The anteroinferior cerebellar artery arose from the basilar in all cases, asymmetrical at its origin level and 10 % was double; its outer diameter average was 1.39 mm. The superior cerebellar artery arose from the basilar in 94% of cases and from the posterior cerebral artery in 6%, 17 % was double; and its outer diameter average was 1.73 mm.
Conclusions: the anatomical origin of the posteroinferior cerebellar artery is from the ver-tebral artery as common pattern while the anteroinferior and superior cerebellar arteries arise from basilar artery. Anatomical variants includes the origin of the posteroinferior cerebellar artery from the basilar or being absent; double or asymmetric anteroinferior cerebellar artery and superior cere-bellar artery with origin at the posterior cerebral artery and/or double. The average of the outer di-ameter of each cerebellar arteries is less than two millimeters.


REFERENCES

  1. Vargas A, Lobos A, Postigo J. Accidente vascular de circulación posterior en pacientes con foramen oval permeable y/o aneurisma del septo auricular: dos casos clínicos y una puesta al día. Rev Chilena Neuropsiq [Internet]. 2016 [citado 02 May 2019];54(1):[aprox. 7 p.]. Disponible en: https://www.redalyc.org/pdf/3315/331545602004.pdf

  2. Meckel S, Spittau B, McAuliffe W. The persistent trigeminal artery: development, imaging anatomy, variants, and associated vascular pathologies. Interv Neuroradiol [Internet]. 2012 [citado 02 May 2019];9(3):[aprox. 4 p.]. Disponible en: http://link.springer.com/article/10.1007/s00234-011-0995- 3/full text. Htm l#Sec1

  3. Li X, Zhang D, Zhao J. Anterior inferior cerebellar artery aneurysms: six cases and a review of the literature. Neurosurgical Review [Internet]. 2011 [citado 02 May 2019];9(1):[aprox. 4 p.]. Disponible en: http://link.springer.com/article/10.1007/s10143-011-0338-1/fulltext.html #Sec1

  4. Delion M, Dinomais M, Mercier P. Arteries and veins of the cerebellum. Cerebellum [Internet]. 2017 [citado 02 May 2019];16(5-6):[aprox. 32 p.]. Disponible en: https://link.springer.com/article/10.1007%2Fs12311-016-0828-3

  5. Gabrieli J, Sourour NA, Chauvet D, Di Maria F, Chiras J, Clarençon F. Anterior spinal and bulbar artery supply to the posterior inferior cerebellar artery revealed by a ruptured aneurysm: case report. J neurosurg [Internet] 2017 [citado 02 May 2019];126(2):[aprox. 4 p.]. Disponible en: https://thejns.org/view/journals/j-neurosurg/126/2/article-p596.xml

  6. Lacerda AJ, Pérez S, Martín JC, Martín D, Mirabal Y, Tacas N. Abordaje temporopolar para la cirugía de aneurismas intracraneales de la circulación posterior. MEDICIEGO [Internet]. 2012 [citado 02 May 2019];18(2):[aprox 4 p.]. Disponible en: http://www.bvs.sld.cu/revistas/mciego/vol18_02_12/casos/t-13.html

  7. Latarjet M, Ruiz Liard A. Anatomía Humana. 2da ed. México: Editorial Médica Panamericana SA;1988.

  8. Rouviere H. Anatomía Humana Descriptiva y Topográfica. La Habana: Instituto del Libro;1968.

  9. Estupiñan HY, Gómez FA, Ballesteros LE. Differential distribution patterns in cerebellar irrigation. A study with autopsy material. Int Arch Med [Internet]. 2018 [citado 02 May 2019];11(13):[aprox. 8 p.]. Disponible en: https://scholar.google.com.cu/citations?user=JVoai4UAAAAJ&hl =es&oi=sra#d=gs_md_cita-d&u=%2Fcitations%3Fview_op%3Dview_citation%26hl%3Des%26user%3DJVoai4UAAAAJ%26citation_for_view%3DJVoai4UAAAAJ%3A0EnyYjriUFMC%26tzom%3D300

  10. Rhoton Al. The Infratentorial Arteries. Neurosurgery. 2000;47(3):29-44.

  11. Fan F, Wang C, Xie X. Endovascular treatment of a ruptured vertebral dissecting aneurysm associ-ated with double-origin posterior inferior cerebellar artery. Catheter Cardiovasc Interv [Internet]. 2010 [citado 02 May 2019];77(1):[aprox. 4 p.]. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1002/ccd.22685

  12. Silva MA, See AP, Aziz-Sultan MA. Surgical Treatment of a Double Origin Posterior Inferior Cere-bellar Artery Aneurysm and Insights From Embryology: Case Report and Literature Review. Oper Neu-rosurg (Hagerstown) [Internet]. 2017 Jun [citado 02 May 2019];13(3):[aprox. 5 p.]. Disponible en: search.proquest.com/openview/5b67a6ccc69326abe322bc57da821aa8/1?pq-origsite=gscholar&cbl=2046367

  13. Sharifi M, Ungier E, Ciszek B. Double posterior inferior cerebellar artery. Surg Radiol Anat [Internet]. 2010 Ene [citado 02 May 2019];32(1):[aprox. 3 p.]. Disponible en: https://link.springer.com/article/10.1007%2Fs00276-009-0512-0#citeas

  14. Cho YD, Han MH, Lee JY. Double origin of the posterior inferior cerebellar artery with juxta-proximal fenestration of caudal component. Surg Radiol Anat [Internet]. 2011 [citado 02 May 2019];33(3):[aprox. 4 p.]. Disponible en: http://link.springer.com/article/10.1007/s00276-010-0747-9/fulltext.html#Sec3

  15. Kawabata Y, Tsukahara T, Fukuda S. Successful endovascular treatment of a dissecting aneurysm of vertebral artery associated with double origin of the posterior inferior cerebellar artery. J Intern Neu-roradiol [Internet]. 2016 Feb [citado 02 May 2019];22(1):[aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757369/.

  16. Nassr AN, Swann PP, Huston II J, Abdelfatah MM, Rose PS, Currier BL. Aberrant posterior inferior cerebellar artery injury with C1 lateral mass screw placement: a case report and review of the litera-ture. Spine J [Internet]. 2014 Sep [citado 02 May 2019];14(9):[aprox. 8 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S1529943014002204

  17. Uchino A, Saito N, Ishihara S. Double Origin of the Posterior Inferior Cerebellar Artery Diagnosed by MR Angiography: A Report of Two Cases. Neuroradiol J [Internet]. 2015 Apr [citado 02 May 2019];28(2):[aprox. 3 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757150/.

  18. Cavdar S, Dalcik H, Yalin A. A rare case of the posterior inferior cerebellar artery. Acta Anat (Basel) [Internet]. 1995 [citado 02 May 2019];152(3):[aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/entrez/query.fagi?db=pubmed&cmd=Retrieve&dopt=abstract plus&list_uids=7572034

  19. Oh J, Yoon S, Shim J, Bae H, Yoon I. Endovascular Treatment for Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm. J Cerebrovasc Endovasc Neurosurg [Internet]. 2014 [citado 02 May 2019];16(1):[aprox. 5 p.]. Disponible en: http://synapse.koreamed.org/search.php?where=aview&id=10.7461/jcen.2014.16.1.20&code=2098JCEN&vmode=FULL

  20. Fogwe DT, Mesfin FB. Neuroanatomy, Anterior Inferior Cerebellar Arteries. Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 [actualizado 27 Oct 2018; citado 02 May 2019]. Dis-ponible en: https://www.ncbi.nlm.nih.gov/books/NBK448167/.

  21. Porzionato A, Macchi V, Massaro L, Morra A. Double origin of the superior cerebellar artery associat-ed with homolateral haemorrhagic infarction of cerebellum. Folia Neuropathol [Internet]. 2016 [citado 02 May 2019];54(4):[aprox. 8 p.]. Disponible en: https://www.termedia.pl/Double-origin-of-the-superior-cerebellar-artery-associated-r-nwith-homolateral-haemorrhagic-infarction-of-cerebellum,20,28982,0,1.html

  22. Pekcevik Y, Pekcevik R. Variations of the cerebellar arteries at CTA. Surg Radiol Anat [Internet]. 2014 Jul [citado 02 May 2019];36(5):[aprox. 7 p.]. Disponible en: http://link.springer.com/article/10.1007/s00276-013-1208-z

  23. Krzyżewski RM, Stachura MK, Stachura AM, Rybus J, Tomaszewski KA, Klimek Piotrowska W, et al. Variations and morphometric analysis of the proximal segment of the superior cerebellar artery. Neurol Neurochir Pol. 2014;48(4):229-35.




2020     |     www.medigraphic.com