AJDRAJNR - American Journal of Neuroradiology

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Case Report
BRAIN

Unique Anomalous Origin of the Left Anterior Cerebral Artery

Nicole S. Burbank and P. Pearse Morris

From the Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC

Address correspondence to Nicole Burbank, MD, Department of Radiology, Wake Forest University School of Medicine, Second Floor, Meads Hall, One Medical Center Blvd., Winston-Salem, NC 27157-1088

Summary: We present the case of an anomalous origin of the left anterior cerebral artery (ACA) from the supraclinoid segment of the right internal carotid artery. Because of improved imaging quality, anomalies of the ACA–anterior communicating artery (AComA) complex are increasingly recognized on transaxial images. Although most of these anomalies are incidental findings of little clinical significance, some ACA-AComA complex anomalies are clinically significant. Recognition of these anomalies may be instrumental in developing a differential diagnosis or for improved surgical planning.