The author presents a case of occlusion of the right internal carotid artery in which the vertebral artery, the basilar artery and the entire right-sided anterior and posterior circulations were supplied by the right external carotid artery by way of an occipital-vertebral artery anastomosis. In this case, the usually small muscular branches of the occipital artery developed into collaterals capable of supplying the entire right side of the brain.
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