Recurrent artery of Heubner
Citation, DOI, disclosures and article data
At the time the article was created Donna D'Souza had no recorded disclosures.View Donna D'Souza's current disclosures
At the time the article was last revised Craig Hacking had the following disclosures:
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.View Craig Hacking's current disclosures
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 (hence it's name), 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 limb of the internal capsule
parts of the uncinate fasciculus
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 include
weakness contralateral arm
weakness contralateral face
bilateral: akinetic mutism
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- 9. Matsuda W, Sonomura T, Honma S et al. Anatomical Variations of the Recurrent Artery of Heubner: Number, Origin, and Course. Anat Sci Int. 2018;93(3):317-22. doi:10.1007/s12565-017-0415-9 - Pubmed