Reyes Soto Gervith, Pérez Cruz Julio Cesar, Nikolenko Vladimir, Rosario Rosario Andreina, Mpoyi Chérubin Tshiunza, Güngör Abuzer, Castillo Rangel Carlos, Encarnacion Ramirez Manuel De Jesus
Department of Neurosurgical Oncology, Mexico's National Institute of Cancer, Mexico City, México.
Laboratory of Anatomical Techniques and Teaching Materials, School of Medicine, National Polytechnic Institute, Mexico City, México.
Surg Neurol Int. 2025 May 2;16:158. doi: 10.25259/SNI_81_2025. eCollection 2025.
The recurrent artery of Heubner (RAH) was first described by Johann Heubner in 1872 and later named by H.F. Aitken in 1909. It is the largest medial lenticulostriate artery from the anterior cerebral artery (ACA). Originating from the A1, A2, or ACA-anterior communicating artery junction, it supplies key brain structures like the caudate nucleus and anterior hypothalamus, with variations in origin and course among individuals.
We studied 15 human brains (5 females and 10 males), ensuring no neurological disease or damage to the anterior communicating complexes. Brains were fixed in 10% formalin for a month and then injected with red-colored latex for vascular visualization. Dissections were performed using a Zeiss OPMI surgical microscope, and detailed notes and images were captured for analysis.
RAH was identified in 28 of 30 hemispheres, with 11 exhibiting double arteries. RAH origin is located approximately 1-4 mm from the anterior communicating artery (ACOM). The most common origins were the juxtacommunicating, A2, and A1 segments. Trajectories observed included "L," inverted "L," oblique, and sinuous, with oblique being the most common. Variations included the absence of RAH replaced by an accessory middle cerebral artery in some cases.
The RAH shows significant anatomical variability, originating from different ACA segments or the frontopolar artery, with four main trajectory types. Understanding these variations is critical for neurosurgical planning, as preserving the RAH can prevent neurological deficits. Gender differences in origin and trajectory were noted, influencing surgical approaches and outcomes.
赫布纳回返动脉（RAH）于1872年由约翰·赫布纳首次描述，1909年由H.F.艾特肯命名。它是大脑前动脉（ACA）最大的内侧豆纹动脉。起源于A1、A2或ACA-前交通动脉交界处，供应尾状核和下丘脑前部等关键脑结构，个体之间在起源和走行上存在差异。
我们研究了15例人脑（5例女性和10例男性），确保无前交通复合体的神经疾病或损伤。将大脑固定在10%福尔马林中一个月，然后注入红色乳胶以显示血管。使用蔡司OPMI手术显微镜进行解剖，并拍摄详细的笔记和图像进行分析。
在30个半球中的28个中识别出RAH，其中11个显示为双动脉。RAH起源于距前交通动脉（ACOM）约1-4毫米处。最常见的起源是毗邻交通动脉、A2和A1段。观察到的走行包括“L”形、倒“L”形、斜形和蜿蜒形，其中斜形最为常见。变异包括在某些情况下无RAH，由副大脑中动脉替代。
RAH显示出显著的解剖变异，起源于不同的ACA段或额极动脉，有四种主要走行类型。了解这些变异对于神经外科手术规划至关重要，因为保留RAH可预防神经功能缺损。注意到起源和走行存在性别差异，这会影响手术方法和结果。
