Recurrent artery of Heubner
Citation, DOI and article data
Recurrent artery of Heubner, also known as the medial striate artery or long central artery, is the largest perforating branch from the proximal anterior cerebral artery (ACA) and is the only one routinely seen on angiography.
Origin and course
Its origin is near the A1-ACom-A2 junction of the ACA, arising from the proximal A2 in 90% of cases, and from the distal A1 in 10% of cases. Rarely, it can arise from ACom or have a common origin with the frontopolar artery. It then curves back sharply on itself, paralleling the A1 and is at risk from ACom aneurysm clipping (see case 1).
The recurrent artery of Heubner provides vascular supply mainly to 8:
- head of the caudate nucleus
- medial portion of globus pallidus
- anterior crus of the internal capsule
- anterior hypothalamus
- nucleus accumbens
- parts of the uncinate fasciculus
- diagonal band of Broca
- basal nucleus of Meynert
It may be absent in 3% or duplicated in 12% of individuals. In some patients it may be triplicated 9 or even quadruplicated 8.
History and etymology
It is named after Johann Otto Leonhard Heubner, a German pediatrician (1843-1926), who first described his eponymous vessel in 1872 7.
Clinical manifestations of occlusion:
- weakness contralateral arm
- weakness contralateral face
- 1. Anne G. Osborn, Karen A. Tong. Handbook of Neuroradiology. (1996) ISBN: 9780815165934
- 2. Hans-Joachim Kretschmann, Wolfgang Weinrich. Cranial Neuroimaging and Clinical Neuroanatomy. (2019) ISBN: 9781588901453
- 3. Julien Bogousslavsky, Louis R. Caplan. Stroke Syndromes. (2001) ISBN: 9780521771429
- 4. Eelco F. M. Wijdicks. Catastrophic Neurologic Disorders in the Emergency Department. (2004) ISBN: 9780195168808
- 5. Lee ER, Eastwood JD. An unusual variant of the fronto-orbital artery. (2000) AJNR. American journal of neuroradiology. 21 (5): 939-40. Pubmed
- 6. Shoki Takahashi et.al, Extent and Location of Cerebral lnfarcts on Multiplanar MR Images: Correlation with Distribution of Perforating Arteries on Cerebral Angiograms and on Cadaveric Microangiograms, AJR 1994;1 63:1 21 5-1 222
- 7. Haroun RI, Rigamonti D, Tamargo RJ. Recurrent artery of Heubner: Otto Heubner's description of the artery and his influence on pediatrics in Germany. (2000) Journal of neurosurgery. 93 (6): 1084-8. doi:10.3171/jns.2000.93.6.1084 - Pubmed
- 8. El Falougy H, Selmeciova P, Kubikova E, Haviarová Z. The variable origin of the recurrent artery of Heubner: an anatomical and morphometric study. (2013) BioMed research international. 2013: 873434. doi:10.1155/2013/873434 - Pubmed
- 9. Wakoto Matsuda, Takahiro Sonomura, Satoru Honma, Sachi Ohno, Tetsuya Goto, Shuichi Hirai, Masahiro Itoh, Yoshiko Honda, Hiroki Fujieda, Jun Udagawa, Shuichi Ueda. Anatomical variations of the recurrent artery of Heubner: number, origin, and course. (2018) Anatomical Science International. 93 (3): 317. doi:10.1007/s12565-017-0415-9 - Pubmed