Posterior Internal Frontal Artery Vascularization of the Precentral Gyrus Responsible for Proximal Arm Movement: Insight from a Case of Coil Migration

Author(s): David Bergeron, Harrison J. Westwick, Sami Obaid, Michel W. Bojanowski*

Journal Name: Current Neurovascular Research

Volume 17 , Issue 4 , 2020


Become EABM
Become Reviewer
Call for Editor

Abstract:

Our knowledge of the vascularization of the precentral gyrus by branches of the anterior cerebral artery (ACA) relies mainly on anatomical cadaveric dissection. A distal branch of the ACA known as the posterior internal frontal artery (PIFA) is thought to vascularize the precentral gyrus responsible for proximal arm movement; however, no clinical correlation has yet been reported to confirm this relation. In this manuscript, we report a case of coil migration in the PIFA, causing proximal arm weakness in a 58-year-old woman treated for aneurysmal subarachnoid hemorrhage. The occurrence of clinical signs immediately following coil migration into the PIFA, combined with evidence of stroke in the cortical territory related to arm movement as seen on imaging, indicates that the PIFA indeed can vascularize this lateral portion of the precentral gyrus. This case confirms our current understanding of the vascularization of the precentral gyrus by distal ACA branches, in particular the PIFA.

Keywords: Anterior cerebral artery, posterior internal frontal artery, neuroanatomy, vascular neurosurgery, gyrus, cortical vessels.

[1]
Rhoton AL Jr. The supratentorial arteries. Neurosurgery 2002; 51(4)(Suppl.): S53-S120.
[PMID: 12234447]
[2]
Frigeri T, Paglioli E, de Oliveira E, Rhoton AL Jr. Microsurgical anatomy of the central lobe. J Neurosurg 2015; 122(3): 483-98.
[http://dx.doi.org/10.3171/2014.11.JNS14315] [PMID: 25555079]
[3]
Tahir RA, Haider S, Kole M, Griffith B, Marin H. Anterior Cerebral Artery: Variant Anatomy and Pathology. J Vasc Interv Neurol 2019; 10(3): 16-22.
[PMID: 31308866]
[4]
Cavalcanti DD, Albuquerque FC, Silva BF, Spetzler RF, Preul MC. The anatomy of the callosomarginal artery: Applications to microsurgery and endovascular surgery. Neurosurgery 2010; 66(3): 602-10.
[http://dx.doi.org/10.1227/01.NEU.0000365003.25338.62] [PMID: 20124934]
[5]
Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the distal anterior cerebral artery. J Neurosurg 1978; 49(2): 204-28.
[http://dx.doi.org/10.3171/jns.1978.49.2.0204] [PMID: 671075]
[6]
Cilliers K, Page BJ. Review of the anatomy of the distal anterior cerebral artery and its anomalies. Turk Neurosurg 2016; 26(5): 653-61.
[PMID: 27337235]
[7]
Gomes FB, Dujovny M, Umansky F, et al. Microanatomy of the anterior cerebral artery. Surg Neurol 1986; 26(2): 129-41.
[http://dx.doi.org/10.1016/0090-3019(86)90365-4] [PMID: 3726739]
[8]
Kakou M, Destrieux C, Velut S. Microanatomy of the pericallosal arterial complex. J Neurosurg 2000; 93(4): 667-75.
[http://dx.doi.org/10.3171/jns.2000.93.4.0667] [PMID: 11014546]
[9]
Kedia S, Daisy S, Mukherjee KK, Salunke P, Srinivasa R, Narain MS. Microsurgical anatomy of the anterior cerebral artery in Indian cadavers. Neurol India 2013; 61(2): 117-21.
[http://dx.doi.org/10.4103/0028-3886.111113] [PMID: 23644309]
[10]
Ugur HC, Kahilogullari G, Esmer AF, et al. A neurosurgical view of anatomical variations of the distal anterior cerebral artery: An anatomical study. J Neurosurg 2006; 104(2): 278-84.
[http://dx.doi.org/10.3171/jns.2006.104.2.278] [PMID: 16509502]
[11]
Ugur HC, Kahilogullari G, Coscarella E, et al. Arterial vascularization of primary motor cortex (precentral gyrus). Surg Neurol 2005; 64(Suppl. 2): S48-52.
[http://dx.doi.org/10.1016/j.surneu.2005.07.049] [PMID: 16256841]
[12]
Gloger S, Gloger A, Vogt H, Kretschmann HJ. Computer-assisted 3D reconstruction of the terminal branches of the cerebral arteries. I. Anterior cerebral artery. Neuroradiology 1994; 36(3): 173-80.
[http://dx.doi.org/10.1007/BF00588126] [PMID: 8041435]
[13]
Toyoda K. Anterior cerebral artery and Heubner’s artery territory infarction. Front Neurol Neurosci 2012; 30: 120-2.
[http://dx.doi.org/10.1159/000333607] [PMID: 22377877]
[14]
Matos Casano HA, Tadi P, Ciofoaia GA. Anterior Cerebral Artery Stroke. Treasure Island, FL: StatPearls 2020.
[15]
Kumral E, Bayulkem G, Evyapan D, Yunten N. Spectrum of anterior cerebral artery territory infarction: Clinical and MRI findings. Eur J Neurol 2002; 9(6): 615-24.
[http://dx.doi.org/10.1046/j.1468-1331.2002.00452.x] [PMID: 12453077]
[16]
Bogousslavsky J, Regli F. Anterior cerebral artery territory infarction in the Lausanne Stroke Registry. Clinical and etiologic patterns. Arch Neurol 1990; 47(2): 144-50.
[http://dx.doi.org/10.1001/archneur.1990.00530020040012] [PMID: 2302085]
[17]
Gacs G, Fox AJ, Barnett HJ, Vinuela F. Occurrence and mechanisms of occlusion of the anterior cerebral artery. Stroke 1983; 14(6): 952-9.
[http://dx.doi.org/10.1161/01.STR.14.6.952] [PMID: 6659000]
[18]
Kazui S, Sawada T, Naritomi H, Kuriyama Y, Yamaguchi T. Angiographic evaluation of brain infarction limited to the anterior cerebral artery territory. Stroke 1993; 24(4): 549-53.
[http://dx.doi.org/10.1161/01.STR.24.4.549] [PMID: 8465361]
[19]
Mohebi N, Arab M, Moghaddasi M, Behnam Ghader B, Emamikhah M. Stroke in supplementary motor area mimicking functional disorder: A case report. J Neurol 2019; 266(10): 2584-6.
[http://dx.doi.org/10.1007/s00415-019-09479-7] [PMID: 31396688]
[20]
D’Amore C, Paciaroni M. Border-zone and watershed infarctions. Front Neurol Neurosci 2012; 30: 181-4.
[http://dx.doi.org/10.1159/000333638] [PMID: 22377891]
[21]
Molyneux A, Kerr R, Stratton I, et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: A randomised trial. Lancet 2002; 360(9342): 1267-74.
[http://dx.doi.org/10.1016/S0140-6736(02)11314-6] [PMID: 12414200]
[22]
Spetzler RF, McDougall CG, Zabramski JM, et al. Ten-year analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial. J Neurosurg 2019; 2019: 1-6.
[PMID: 30849758]
[23]
Spetzler RF, Zabramski JM, McDougall CG, et al. Analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial. J Neurosurg 2018; 128(1): 120-5.
[http://dx.doi.org/10.3171/2016.9.JNS161301] [PMID: 28298031]
[24]
Zhao B, Xing H, Fan L, et al. Endovascular coiling versus surgical clipping of very small ruptured anterior communicating artery aneurysms. World Neurosurg 2019; 126: e1246-50.
[http://dx.doi.org/10.1016/j.wneu.2019.03.074] [PMID: 30898747]
[25]
Signorelli F, Scholtes F, Bojanowski MW. Very small intracranial aneurysms: Clip or coil. Neurochirurgie 2012; 58(2-3): 156-9.
[http://dx.doi.org/10.1016/j.neuchi.2012.03.004] [PMID: 22481028]
[26]
Darsaut TE, Roy D, Weill A, et al. A randomized trial of endovascular versus surgical management of ruptured intracranial aneurysms: Interim results from ISAT2. Neurochirurgie 2019; 65(6): 370-6.
[http://dx.doi.org/10.1016/j.neuchi.2019.05.008] [PMID: 31229533]
[27]
Wang JW, Li CH, Tian YY, et al. Safety and efficacy of endovascular treatment of ruptured tiny cerebral aneurysms compared with ruptured larger aneurysms. Interv Neuroradiol 2020; 26(3): 283-90.
[http://dx.doi.org/10.1177/1591019919897446] [PMID: 31930939]
[28]
Nguyen TN, Raymond J, Guilbert F, et al. Association of endovascular therapy of very small ruptured aneurysms with higher rates of procedure-related rupture. J Neurosurg 2008; 108(6): 1088-92.
[http://dx.doi.org/10.3171/JNS/2008/108/6/1088] [PMID: 18518708]


Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 17
ISSUE: 4
Year: 2020
Page: [518 - 521]
Pages: 4
DOI: 10.2174/1567202617666200817142451
Price: $65

Article Metrics

PDF: 19
HTML: 1