Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography

ABSTRACT: We herein report a case of bilateral occipital arteries (OAs) arising from the thyrocervical trunks (TCTs). The patient was a 34-year-old woman with suspected basilar artery aneurysm underwent magnetic resonance (MR) angiography of the head and neck region using a 3-Tesla scanner. Cranial...

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Main Authors: Akira Uchino, MD, PhD, Shoichiro Ishihara, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322002989
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author Akira Uchino, MD, PhD
Shoichiro Ishihara, MD, PhD
author_facet Akira Uchino, MD, PhD
Shoichiro Ishihara, MD, PhD
author_sort Akira Uchino, MD, PhD
collection DOAJ
description ABSTRACT: We herein report a case of bilateral occipital arteries (OAs) arising from the thyrocervical trunks (TCTs). The patient was a 34-year-old woman with suspected basilar artery aneurysm underwent magnetic resonance (MR) angiography of the head and neck region using a 3-Tesla scanner. Cranial MR angiography revealed no aneurysm. Cervical MR angiography showed bilateral OAs arising from the TCTs. The extremely hyperplastic ascending cervical artery (ACA) arose from the transverse cervical artery, and continued to the OA, bilaterally. The OA usually arises from the proximal external carotid artery and runs posterosuperiorly; rarely, it arises from the internal carotid artery or the vertebral artery. The variation in our patient is regarded as bilateral ACA-OA anastomosis. Only one case of the unilateral type of this variation has been reported, having been diagnosed during dissection. Before cervical arterial intervention or head and neck surgery, identification of OA variation is important. During the interpretation of cervical MR angiography findings, careful observation of the origin and course of the OA is required.
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spelling doaj.art-563945cd4c904e7c9d20724ff69b76652022-12-22T03:23:55ZengElsevierRadiology Case Reports1930-04332022-07-0117722992303Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiographyAkira Uchino, MD, PhD0Shoichiro Ishihara, MD, PhD1Department of Radiology, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa Sayama, Saitama 350-1305, Japan; Corresponding author.Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa Sayama, Saitama 350-1305, JapanABSTRACT: We herein report a case of bilateral occipital arteries (OAs) arising from the thyrocervical trunks (TCTs). The patient was a 34-year-old woman with suspected basilar artery aneurysm underwent magnetic resonance (MR) angiography of the head and neck region using a 3-Tesla scanner. Cranial MR angiography revealed no aneurysm. Cervical MR angiography showed bilateral OAs arising from the TCTs. The extremely hyperplastic ascending cervical artery (ACA) arose from the transverse cervical artery, and continued to the OA, bilaterally. The OA usually arises from the proximal external carotid artery and runs posterosuperiorly; rarely, it arises from the internal carotid artery or the vertebral artery. The variation in our patient is regarded as bilateral ACA-OA anastomosis. Only one case of the unilateral type of this variation has been reported, having been diagnosed during dissection. Before cervical arterial intervention or head and neck surgery, identification of OA variation is important. During the interpretation of cervical MR angiography findings, careful observation of the origin and course of the OA is required.http://www.sciencedirect.com/science/article/pii/S1930043322002989Arterial variationExternal carotid arteryMagnetic resonance angiographyOccipital arterySubclavian arteryThyrocervical trunk
spellingShingle Akira Uchino, MD, PhD
Shoichiro Ishihara, MD, PhD
Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography
Radiology Case Reports
Arterial variation
External carotid artery
Magnetic resonance angiography
Occipital artery
Subclavian artery
Thyrocervical trunk
title Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography
title_full Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography
title_fullStr Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography
title_full_unstemmed Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography
title_short Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography
title_sort bilateral occipital arteries arising from the thyrocervical trunks ascending cervical artery occipital artery anastomosis diagnosed by magnetic resonance angiography
topic Arterial variation
External carotid artery
Magnetic resonance angiography
Occipital artery
Subclavian artery
Thyrocervical trunk
url http://www.sciencedirect.com/science/article/pii/S1930043322002989
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AT shoichiroishiharamdphd bilateraloccipitalarteriesarisingfromthethyrocervicaltrunksascendingcervicalarteryoccipitalarteryanastomosisdiagnosedbymagneticresonanceangiography