Posterior cerebral artery

Changed by Henry Knipe, 25 Apr 2015

Updates to Article Attributes

Body was changed:

The posterior cerebral arteries (PCA) are the terminal branches of the basilar artery and supply the occipital lobes and posteromedial temporal lobes.

SegmentsSummary

Gross anatomy

The PCA is divided into four segments named P1 to P4:

  • P1: from it origin at the termination of the basilar artery to posterior communicating artery (PCOM), within interpeduncular cistern.
  • P2: from the PCOM around the mid-brain, divided into P2A (anterior) and P2P (posterior) sub-segments.  P2A is within crural cistern which then bridges to the P2P segement in ambient cistern (thus ambient segment)
  • P3: quadrigeminal segment (segment with the quadrigeminal cistern)
  • P4: cortical segment (e.g., calcarine calcarine artery, within the calcarine fissure)

Normal variants

SummaryBranches
  • -<p>The <strong>posterior cerebral arteries (PCA) </strong>are the terminal branches of the <a href="/articles/basilar-artery">basilar artery</a> and supply the occipital lobes and posteromedial temporal lobes.</p><h4>Segments</h4><p>The PCA is divided into four segments named P1 to P4:</p><ul>
  • +<p>The <strong>posterior cerebral arteries (PCA) </strong>are the terminal branches of the <a href="/articles/basilar-artery">basilar artery</a> and supply the occipital lobes and posteromedial temporal lobes.</p><h4>Summary</h4><ul>
  • -<strong>P1:</strong> from it origin at the termination of the basilar artery to <a href="/articles/posterior-communicating-artery">posterior communicating artery (PCOM)</a>, within interpeduncular cistern.</li>
  • -<li>
  • -<strong>P2:</strong> from the PCOM around the mid-brain, divided into P2A (anterior) and P2P (posterior) sub-segments.  P2A is within crural cistern which then bridges to the P2P segement in ambient cistern (thus ambient segment)</li>
  • +<strong>origin</strong>: terminal branches of the <a href="/articles/basilar-artery">basilar artery</a>
  • +</li>
  • -<strong>P3:</strong> quadrigeminal segment (segment with the <a href="/articles/quadrigeminal-cistern-1">quadrigeminal cistern</a>)</li>
  • +<strong>course</strong>: from basilar towards occiput</li>
  • -<strong>P4:</strong> cortical segment (e.g., calcarine artery, within the <a href="/articles/calcarine-fissure">calcarine fissure</a>)</li>
  • -</ul><h4>Normal variants</h4><ul>
  • -<li>PCA fenestration - rare</li>
  • +<strong>main branches</strong><ul>
  • +<li><a href="/articles/posterior-communicating-artery">posterior communicating artery</a></li>
  • -<a href="/articles/fetal-pcom-1">foetal origin of PCA</a>; unilateral incidence 10%, bilateral incidence 8%</li>
  • -</ul><h5>Summary</h5><ul>
  • +<a href="/articles/medial-posterior-choroidal-artery">medial</a> and <a title="lateral posterior choroidal arteries" href="/articles/lateral-posterior-choroidal-arteries">lateral posterior choroidal arteries</a>
  • +</li>
  • +<li><a href="/articles/lateral-posterior-choroidal-artery">lateral posterior choroidal arteries</a></li>
  • +<li><a href="/articles/calcarine-artery">calcarine artery</a></li>
  • +</ul>
  • +</li>
  • -<strong>origin</strong>: terminal branches of the <a href="/articles/basilar-artery">basilar artery</a>
  • +<strong>supply</strong>: <a href="/articles/occipital-lobe">occipital lobes</a> and posteromedial <a href="/articles/temporal-lobe">temporal lobes</a>
  • +</ul><h4>Gross anatomy</h4><p>The PCA is divided into four segments:</p><ul>
  • -<strong>course</strong>: from basilar towards occiput</li>
  • +<strong>P1:</strong> from it origin at the termination of the basilar artery to <a href="/articles/posterior-communicating-artery">posterior communicating artery (PCOM)</a>, within interpeduncular cistern.</li>
  • +<li>
  • +<strong>P2:</strong> from the PCOM around the mid-brain, divided into P2A (anterior) and P2P (posterior) sub-segments.  P2A is within crural cistern which then bridges to the P2P segement in ambient cistern (thus ambient segment)</li>
  • -<strong>branches</strong>:<ul>
  • +<strong>P3:</strong> quadrigeminal segment (segment with the <a href="/articles/quadrigeminal-cistern-1">quadrigeminal cistern</a>)</li>
  • +<li>
  • +<strong>P4:</strong> cortical segment (e.g. calcarine artery, within the <a href="/articles/calcarine-fissure">calcarine fissure</a>)</li>
  • +</ul><h5>Branches</h5><ul>
  • -</ul>
  • -</li>
  • -<li>
  • -<strong>supply </strong>: <a href="/articles/occipital-lobe">occipital lobes</a> and posteromedial <a href="/articles/temporal-lobe">temporal lobes</a>
  • -</li>
  • +</ul><h4>Variant anatomy</h4><ul>
  • +<li>PCA fenestration: rare</li>
  • -<strong>termination </strong>:</li>
  • -<li>
  • -<strong>variants </strong>:<ul>
  • -<li><a href="/articles/fetal-pcom-1">fetal PCOM</a></li>
  • -<li><a href="/articles/artery-of-percheron">artery of Percheron</a></li>
  • -</ul>
  • -</li>
  • +<a href="/articles/fetal-pcom-1">foetal origin of PCA</a>: unilateral incidence 10%, bilateral incidence 8%</li>

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