Tuberothalamic Artery Infarction following Coil Embolization of a Ruptured Posterior Communicating Artery Aneurysm Belonging to a Transitional Type Posterior Cerebral Artery
Restricted accessResearch articleFirst published online September, 2013
Tuberothalamic Artery Infarction following Coil Embolization of a Ruptured Posterior Communicating Artery Aneurysm Belonging to a Transitional Type Posterior Cerebral Artery
There are many potential anatomical variations in the connection between the internal carotid artery and the posterior circulation through the posterior communicating artery (PCoA). We describe the endovascular treatment of an aneurysm arising near the origin of the PCoA belonging to a transitional type posterior cerebral artery. Coil embolization subsequently resulted in thrombo-occlusion of the adjacent PCoA causing thalamic infarction even though sufficient retrograde flow had been confirmed pre-operatively by Allcock's test.
SaekiNRhotonALJr. Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis. J Neurosurg. 1977; 46: 563–578.
2.
BogousslavskyJRegliFAssalG. The syndrome of unilateral tuberothalamic artery territory infarction. Stroke. 1986; 17: 434–441.
3.
van RaamtAFMaliWPvan LaarPJ. The fetal variant of the circle of Willis and its influence on the cerebral collateral circulation. Cerebrovasc Dis.2006; 22: 217–224.
4.
DrakeCG. Giant intracranial aneurysms: experience with surgical treatment in 174 patients. Clin Neurosurg. 1979; 26: 12–95.
5.
BisariaKK. Anomalies of the posterior communicating artery and their potential clinical significance. J Neurosurg. 1984; 60: 572–576.
6.
HorikoshiTAkiyamaIYamagataZ. Magnetic resonance angiographic evidence of sex-linked variations in the circle of willis and the occurrence of cerebral aneurysms. J Neurosurg. 2002; 96: 697–703.
CaldemeyerKSCarricoJBMathewsVP. The radiology and embryology of anomalous arteries of the head and neck. Am J Roentgenol. 1998; 170: 197–203.
9.
BeumerDDelwelEJKleinrensinkGJ. The perforator-free zone of the posterior communicating artery and its relevance in approaches to the interpeduncular cistern, especially the transcavernous approach: an anatomic study. Neurosurgery. 2007; 61: 187–191; discussion 191–182.
10.
GabrovskyN. Microanatomical bases for intraoperative division of the posterior communicating artery. Acta Neurochir (Wien). 2002; 144: 1205–1211.
11.
EndoHSatoKKondoR. Tuberothalamic artery infarctions following coil embolization of ruptured posterior communicating artery aneurysms with posterior communicating artery sacrifice. Am J Neuroradiol. 2012; 33: 500–506.