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Azygos anterior cerebral artery

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Incidental finding.

Patient Data

Age: 22
Gender: Female

MRI Brain and MRA

mri

There is a single trunk forming the A2 segment of ACAs. The left A1 ACA is hypoplastic and dives a hypoplastic A2 which ends below the level of genu of corpus callosum. 

Case Discussion

This case demonstrates a rare anatomical variant called Azygos anterior cerebral artery (azygos-ACA) characterized by a common trunk in the A2 segment (above the anterior communicating artery) 1.

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