Faculty of Medicine, University of Niš, Niš, Serbia.
University of Las Vegas, Las Vegas, NV, USA.
J Neurosurg Sci. 2024 Oct;68(5):574-582. doi: 10.23736/S0390-5616.22.05820-9. Epub 2022 Sep 9.
A variable artery in the anterior cerebral circulation, named median callosal artery (MdCA) belongs to one of the three groups of anteromedial central branches of the anterior communicating artery (ACoA). The lack of information on MdCA in human fetuses inspired the authors to explore and present its morphological features.
The arteries of the brain base were analyzed and measured on 193 specimens of human fetuses, whose values are preserved from the time of preparation of PhD thesis.
The median callosal artery was observed in 45% (87/193) of fetuses from 12.5 to 25 weeks of gestation. The MdCA originating from the single ACoA was found in 4.66% cases. MdCAs originating from the so-called anterior communicating rete (16.58%), as well from the partially duplicated (5.69%) and total duplicated ACoA (10.88%) were also found. A statistically significant difference of the artery OD between male and female fetuses was not found. There was a non-significant positive correlation between fetal age presented in gestational weeks and the artery OD (r=0.214). The OD of the MdCA did not correlate with the diameters of the anterior cerebral artery (ACA). An unusual convergent union of initial ACA medial vessels and partial duplication at MdCA beginning and its trunk fenestrations were shown, along with bilateral distribution of MdCA branches.
The wide range of variability of the median callosal artery in human fetuses, presented in this paper, contributes to anatomical knowledge on the anterior part of cerebral circulation.
大脑前循环中的变异动脉,即正中连合动脉(MdCA),属于前交通动脉(ACoA)的前内侧中央分支的三组之一。由于缺乏人类胎儿中 MdCA 的信息,作者对其进行了探索并呈现了其形态特征。
作者分析和测量了 193 个人类胎儿脑基底部的动脉,这些值是从博士论文准备阶段保存下来的。
在 12.5 至 25 周龄的胎儿中,有 45%(87/193)观察到正中连合动脉。起源于单一 ACoA 的 MdCA 见于 4.66%的病例。起源于所谓的前交通网(16.58%)、部分重复(5.69%)和完全重复 ACoA(10.88%)的 MdCAs 也被发现。在男性和女性胎儿之间,动脉 OD 没有统计学上的显著差异。动脉 OD 与胎龄(以妊娠周表示)之间存在非显著正相关(r=0.214)。MdCA 的 OD 与大脑前动脉(ACA)的直径无关。作者还展示了初始 ACA 内侧血管的异常汇聚融合以及 MdCA 起始处及其干部分叉的部分重复,以及 MdCA 分支的双侧分布。
本文提出的人类胎儿正中连合动脉的广泛变异性,有助于了解大脑前循环的解剖学知识。