Azygous anterior cerebral artery

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Vague headaches for assessment. Incidental finding.

Patient Data

Age: 60 years
Gender: Male

MRA demonstrates an azygos anterior cerebral artery, with no associated aneurysms. On the right, a small persistent trigeminal artery contributes to the vertebra basilar system which is generally diminutive in size. The right posterior cerebral artery is foetal in origin. Otherwise intracranial circulation is unremarkable.

Case Discussion

Careful search for malformation is important when vascular anomalies are found.

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