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Neuroradiology

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27.01.2020 | Review

Embryology and variations of the recurrent artery of Heubner

verfasst von: Sara Bonasia, Michel Bojanowski, Thomas Robert

Erschienen in: Neuroradiology | Ausgabe 4/2020

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Abstract

Purpose

The recurrent artery of Heubner (RAH) is a very fascinating artery for various reasons. The first one is its early development in the embryologic and phylogenic life. The second one is the discrepancy between its diameter and its functional importance and the last but not least reason is the many variations of origin and course of this artery.

Methods

For more than a century, numerous studies furnished important information about variations in origin, course, and parenchymal territory of the RAH. The most important anomaly concerning the RAH is the accessory middle cerebral artery and well-illustrates the complexity of its embryologic development.

Conclusion

For these reasons, authors provide a review of anatomical variations of this artery that could be encountered with a particular attention given to the history and embryological knowledge.

Kaplan HA (1965) The lateral perforating branches of the anterior and middle cerebral arteries. J Neurosurg 23(3):305–310. https://doi.org/10.3171/jns.1965.23.3.0305 CrossRefPubMed

Tran-Dinh H (1986) The accessory middle cerebral artery--a variant of the recurrent artery of Heubner (A. centralis longa)? Acta Anat (Basel) 126(3):167–171CrossRef

Gomes F, Dujovny M, Umansky F, Ausman JI, Diaz FG, Ray WJ, Mirchandani HG (1984) Microsurgical anatomy of the recurrent artery of Heubner. J Neurosurg 60(1):130–139. https://doi.org/10.3171/jns.1984.60.1.0130 CrossRefPubMed

Lasjaunias P, Bereinstein A, Ter Brugge KG (2001) Surgical neuroangiography, vol 1. Springer edition, Berlin

Haroun RI, Rigamonti D, Tamargo RJ (2000) Recurrent artery of Heubner: Otto Heubner’s description of the artery and his influence on pediatrics in Germany. J Neurosurg 93(6):1084–1088. https://doi.org/10.3171/jns.2000.93.6.1084 CrossRefPubMed

Heubner O (1872) Zur Topographie der Ernahrungsgebrete der einzelnen Hirnarterien. Cent Med Wissen 52:816–821

Shellshear JL (1920) The basal arteries of the forebrain and their functional significance. J Anat 55(Pt 1):27–35PubMedPubMedCentral

Abbie AA (1934) The morphology of the fore-brain arteries, with especial reference to the evolution of the basal ganglia. J Anat 68(Pt 4):433–470PubMedPubMedCentral

Padget DH (1948) The development of cranial arteries in the human embryo. Contrib Embryol Carneg Instn 212:205–262

10.

Lazorthes G, Poulhes J, Gaubert J (1956) Vascular areas of the hypothalamus. Bull Acad Natl Med 140(32–33):607–612PubMed

11.

Ostrowski AZ, Webster JE, Gurdjian ES (1960) The proximal anterior cerebral artery: an anatomic study. Arch Neurol 3:661–664CrossRefPubMed

12.

Ahmed DS, Ahmed RH (1967) The recurrent branch of the anterior cerebral artery. Anat Rec 157(4):699–700. https://doi.org/10.1002/ar.1091570414 CrossRefPubMed

13.

Perlmutter D, Rhoton AL Jr (1976) Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg 45(3):259–272. https://doi.org/10.3171/jns.1976.45.3.0259 CrossRefPubMed

14.

Rosner SS, Rhoton AL Jr, Ono M, Barry M (1984) Microsurgical anatomy of the anterior perforating arteries. J Neurosurg 61(3):468–485. https://doi.org/10.3171/jns.1984.61.3.0468 CrossRefPubMed

15.

Dunker RO, Harris AB (1976) Surgical anatomy of the proximal anterior cerebral artery. J Neurosurg 44(3):359–367. https://doi.org/10.3171/jns.1976.44.3.0359 CrossRefPubMed

16.

Vasovic L, Ugrenovic S, Jovanovic I (2009) Human fetal medial striate artery or artery of Heubner. J Neurosurg Pediatr 3(4):296–301. https://doi.org/10.3171/2008.12.PEDS08258 CrossRefPubMed

17.

Zunon-Kipre Y, Peltier J, Haidara A, Havet E, Kakou M, Le Gars D (2012) Microsurgical anatomy of distal medial striate artery (recurrent artery of Heubner). Surg Radiol Anat 34(1):15–20. https://doi.org/10.1007/s00276-011-0888-5 CrossRefPubMed

18.

Matsuda W, Sonomura T, Honma S, Ohno S, Goto T, Hirai S, Itoh M, Honda Y, Fujieda H, Udagawa J, Ueda S (2018) Anatomical variations of the recurrent artery of Heubner: number, origin, and course. Anat Sci Int 93(3):317–322. https://doi.org/10.1007/s12565-017-0415-9 CrossRefPubMed

19.

Streeter GL (1918) The developmental alterations in the vascular system of the brain of the human embryo. Contribution to embryology 8(271):5–38

20.

Lemos VP (1977) Recurrent branch of the anterior cerebral artery: a neuroanatomic study of the extracerebral segment (author’s transl). Rev Bras Pesqui Med Biol 10(1):21–24PubMed

21.

Marinkovic S, Milisavljevic M, Kovacevic M (1986) Anatomical bases for surgical approach to the initial segment of the anterior cerebral artery. Microanatomy of Heubner’s artery and perforating branches of the anterior cerebral artery. Surg Radiol Anat 8(1):7–18CrossRefPubMed

22.

Gorczyca W, Mohr G (1987) Microvascular anatomy of Heubner’s recurrent artery. Neurol Res 9(4):259–264CrossRefPubMed

23.

Avci E, Fossett D, Aslan M, Attar A, Egemen N (2003) Branches of the anterior cerebral artery near the anterior communicating artery complex: an anatomic study and surgical perspective. Neurol Med Chir (Tokyo) 43(7):329–333 discussion 333CrossRef

24.

Loukas M, Louis RG Jr, Childs RS (2006) Anatomical examination of the recurrent artery of Heubner. Clin Anat 19(1):25–31. https://doi.org/10.1002/ca.20229 CrossRefPubMed

25.

Tao X, Yu XJ, Bhattarai B, Li TH, Jin H, Wei GW, Ming JS, Ren W, Jiong C (2006) Microsurgical anatomy of the anterior communicating artery complex in adult Chinese heads. Surg Neurol 65(2):155–161; discussion 161. https://doi.org/10.1016/j.surneu.2005.05.027 CrossRefPubMed

26.

Boongird A, Duangtongphon P (2009) Variation of the recurrent artery of Heubner in human cadavers. J Med Assoc Thail 92(5):643–647

27.

Gasca-Gonzalez OO, Delgado-Reyes L, Perez-Cruz JC (2011) Microsurgical anatomy of the extracerebral segment of recurrent artery of Heubner in the Mexican population. Cir Cir 79(3):201–206 219-224PubMed

28.

Maga P, Tomaszewski KA, Skrzat J, Tomaszewska IM, Iskra T, Pasternak A, Walocha JA (2013) Microanatomical study of the recurrent artery of Heubner. Ann Anat 195(4):342–350. https://doi.org/10.1016/j.aanat.2013.03.011 CrossRefPubMed

29.

Maga P, Tomaszewski KA, Krzyzewski RM, Golec J, Depukat P, Gregorczyk-Maga I, Skrzat J (2013) Branches and arterial supply of the recurrent artery of Heubner. Anat Sci Int 88(4):223–229. https://doi.org/10.1007/s12565-013-0192-z CrossRefPubMed

30.

Maga P, Tomaszewski KA, Pasternak A, Zawilinski J, Tomaszewska R, Gregorczyk-Maga I, Skrzat J (2013) Extra- and intracerebral course of the recurrent artery of Heubner. Folia Morphol (Warsz) 72(2):94–99CrossRef

31.

Uzun I, Gurdal E, Cakmak YO, Ozdogmus O, Cavdar S (2009) A reminder of the anatomy of the recurrent artery of Heubner. Cen Eur Neurosurg 70(1):36–38. https://doi.org/10.1055/s-0028-1119379 CrossRef

32.

El Falougy H, Selmeciova P, Kubikova E, Haviarova Z (2013) The variable origin of the recurrent artery of Heubner: an anatomical and morphometric study. Biomed Res Int 2013:873434. https://doi.org/10.1155/2013/873434 CrossRefPubMedPubMedCentral

33.

Huber P (ed) (1982) Cerebral angiography. Second edn. Thieme, Stuttgart

34.

Izci Y, Seckin H, Medow J, Turnquist C, Baskaya MK (2009) Sulcal and gyral anatomy of the orbitofrontal cortex in relation to the recurrent artery of Heubner: an anatomical study. Surg Radiol Anat 31(6):439–445. https://doi.org/10.1007/s00276-009-0465-3 CrossRefPubMed

35.

Westberg G (1963) The recurrent artery of Heubner and the arteries of the central ganglia. Acta Radiol Diagn (Stockh) 1:949–954CrossRef

36.

Yasargil MG, Fox JL, Ray MW (1975) Anterior cerebral artery complex. In: Yasargil MG (ed) Microneurosurgery, vol I. Thieme, New York, pp 92–99

37.

Ciolkowski M, Michalik R, Ciszek B (2004) Arteries to the proximal part of the olfactory tract. Folia Morphol (Warsz) 63(4):455–458

38.

Jain KK (1964) Some observations on the anatomy of the middle cerebral artery. Can J Surg 7:134–139PubMed

39.

Stabler J (1970) Two cases of accessory middle cerebral artery, including one with an aneurysm at its origin. Br J Radiol 43(509):314–318. https://doi.org/10.1259/0007-1285-43-509-314 CrossRefPubMed

40.

Handa J, Shimizu Y, Matsuda M, Handa H (1970) The accessory middle cerebral artery: report of further two cases. Clin Radiol 21(4):415–416CrossRefPubMed

41.

Teal JS, Rumbaugh CL, Bergeron RT, Segall HD (1973) Anomalies of the middle cerebral artery: accessory artery, duplication, and early bifurcation. Am J Roentgenol Radium Therapy Nucl Med 118(3):567–575CrossRef

42.

Watanabe T, Togo M (1974) Accessory middle cerebral artery. Report of four cases. J Neurosurg 41(2):248–251. https://doi.org/10.3171/jns.1974.41.2.0248 CrossRefPubMed

43.

Takahashi S, Hoshino F, Uemura K, Takahashi A, Sakamoto K (1989) Accessory middle cerebral artery: is it a variant form of the recurrent artery of Heubner? AJNR Am J Neuroradiol 10(3):563–568PubMedPubMedCentral

44.

Mueller DP, Sato Y, Yuh WT (1991) Accessory middle cerebral artery as a source of collateral blood flow. AJNR Am J Neuroradiol 12(6):1223–1224PubMedPubMedCentral

45.

Tacconi L, Johnston FG, Symon L (1995) Accessory middle cerebral artery. Case report J Neurosurg 83(5):916–918. https://doi.org/10.3171/jns.1995.83.5.0916 CrossRefPubMed

46.

Komiyama M, Nishikawa M, Yasui T (1997) The accessory middle cerebral artery as a collateral blood supply. AJNR Am J Neuroradiol 18(3):587–590PubMedPubMedCentral

47.

Komiyama M, Nakajima H, Nishikawa M, Yasui T (1998) Middle cerebral artery variations: duplicated and accessory arteries. AJNR Am J Neuroradiol 19(1):45–49PubMedPubMedCentral

48.

Mavridis I, Anagnostopoulou S (2010) Comment on the brain areas whose blood supply is provided by the recurrent artery of Heubner. Surg Radiol Anat 32(1):91. https://doi.org/10.1007/s00276-009-0540-9 CrossRefPubMed

Titel: Embryology and variations of the recurrent artery of Heubner
verfasst von: Sara Bonasia
Michel Bojanowski
Thomas Robert
Publikationsdatum: 27.01.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Neuroradiology / Ausgabe 4/2020
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-020-02372-5

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Purpose

Methods

Conclusion

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