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

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FIG 1. Anteroposterior 3D time-of-flight MRA of the right ICA distribution demonstrates the origin of the left A1 segment (L ACA) near the origin of the ophthalmic artery. R ACA, right anterior cerebral artery; R MCA, right middle cerebral artery.
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FIG 2. Anteroposterior 3D time-of-flight MRA of the left ICA distribution demonstrates the absence of the left ACA from the left ICA. L MCA, left middle cerebral artery.
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FIG 3. AC, Selected axial images of the 3D time-of-flight MRA demonstrates the paraophthalmic origin of the left A1 segment (L ACA) from the right ICA. The anomalous vessel loops anterior to the optic chiasm before ascending to join the AComA.
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