Fetal carotid-vertebrobasilar anastomoses Flashcards
Fetal carotid-vertebrobasilar anastomoses order of invoultion
order of involution: otic ➡️ hypoglossal ➡️ primitive trigeminal ➡️ proatlantal).
Otic 1st invoulation
Mc persistence fetal Anastomosis
persistent primitive trigeminal artery (PPTA): MCC by (83%)
PPTA. Classification Saltzman
Connect cavernous ICA w BA
persistence
Saltzman 1 ; PCOM hypoplastic and PTTA provide 🩸 BA, PCA ,SCA
Saltzman 2 PCOM supply ➡️ PCA
Saltzman3 PPTA join SCA 🔛 instead BA ➡️ was a test recommended
Otic
🥇 to invoulate
Connect petrous ICA to BA through IAC
hypoglossal
Connect petrous or cervical to VA through hypoglossal canal
🚫 no pass through FM
proatlantal intersegmental
Connect Icervical ICA w BA
Arise from CCA , ECA , or ICA anatsmosis VS sub occipital area