Venous circle of Trolard

Last revised by Frank Gaillard on 14 May 2020

The anastomotic venous circle of the base of the brain 1, also referred to as the venous circle of Trolard 2,3,5, is an inconsistently found venous homologue of the better-known arterial circle of Willis.

It should not be confused with other venous structures also described by Trolard such as the superior anastomotic vein of Trolard

Gross anatomy

Although often incomplete and presenting variable anatomy, the venous circle is comprised of an anterior communicating vein joining the anterior cerebral veins, and a posterior communicating vein joining either the peduncular veins or the caudal portions of the basal veins of Rosenthal.

The anterior communicating vein is present in roughly 50% of patients 4. It courses adjacent the lamina terminalis, usually superiorly and posteriorly relative to the anterior cerebral artery.

The posterior communicating vein is present in more than 75% of patients and courses in the interpeduncular fossa 4.

The circle is important insofar as it can be involved in vascular malformations and tumor drainage. On brain CT angiography acquired in a slightly late phase, it can be confused for arteries. It can also be a cause of erroneous spectral signal when interrogating the circle of Willis during fetal and neonatal Doppler 5.

History and etymology

The term "venous circle of Trolard" was recently coined 2 based on work in the late 1800s by Jean Baptiste Paulin Trolard (1842–1910), a French anatomist who studied the anastomotic veins of the brain 6.

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