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OtherHEAD AND NECK

The Ascending Pharyngeal Artery: Branches, Anastomoses, and Clinical Significance

Lotfi Hacein-Bey, David L. Daniels, John L. Ulmer, Leighton P. Mark, Michelle M. Smith, James M. Strottmann, Douglas Brown, Glenn A. Meyer and Phillip A. Wackym
American Journal of Neuroradiology August 2002, 23 (7) 1246-1256;
Lotfi Hacein-Bey
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David L. Daniels
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John L. Ulmer
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Leighton P. Mark
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Michelle M. Smith
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James M. Strottmann
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Douglas Brown
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Glenn A. Meyer
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Phillip A. Wackym
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  • Fig 1.
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    Fig 1.

    A and B, Anteroposterior (A) and lateral (B) angiograms depict rare instances of the ascending pharyngeal artery arising from the internal carotid artery.

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    Fig 2.

    Diagram of the two major trunks of the ascending pharyngeal artery: anteriorly, the extracranial pharyngeal trunk; posteriorly, the neuromeningeal trunk, which is intracranial and enters the posterior fossa through the foramen magnum.

  • Fig 3.
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    Fig 3.

    Angiogram (A) and diagram (B) of the superior, middle, and inferior pharyngeal branches supplying the pharyngeal submucosal spaces.

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    Fig 4.

    Diagram of the lateral view of the hypoglossal and jugular branches, the two main divisions of the neuromeningeal trunk. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

  • Fig 5.
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    Fig 5.

    View from above the hypoglossal and jugular branches. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

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    Fig 6.

    Angiogram (A) and diagram (B) of the odontoid arch system that gives rise to several branches that supply the first, second and third cervical roots and the periosteum of the spinous processes and pedicles. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

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    Fig 7.

    Angiogram (A) and diagram (B) of the inferior tympanic artery arising as a separate branch between the pharyngeal and neuropharyngeal trunks. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

  • Fig 8.
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    Fig 8.

    Diagram depicting ascending pharyngeal artery anastomoses.

  • Fig 9.
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    Fig 9.

    Angiogram (A) and diagram (B) of the ascending pharyngeal artery communication with the internal carotid artery to the lateral clival branch of the jugular artery.

  • Fig 10.
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    Fig 10.

    Angiogram (A) and diagram (B) of the ascending pharyngeal artery anastomoses to the vertebral artery via the hypoglossal branch and musculospinal branch. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

  • Fig 11.
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    Fig 11.

    Angiogram (A) and diagram (B) of anastomoses to the occipital artery via the odontoid arch. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

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    Fig 12.

    Angiogram (A) and diagram (B) of C1-C2 anastomoses to the occipital artery via the common trunk. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

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    Fig 13.

    Angiogram (A) and diagram (B) of anastomoses via the pterygovaginal artery to the accessory meningeal artery. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

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    Fig 14.

    Angiogram (A) and diagram (B) of the ascending pharyngeal artery supplying a meningioma. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

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    Fig 15.

    Angiogram (A) and diagram (B) of the ascending pharyngeal artery supplying a glomus jugulare tumor. Top, superior view; bottom, inferior view; left, anterior view; right, posterior view.

Tables

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    TABLE 1:

    Ascending pharyngeal artery anastomoses and foramina

    BranchForamenAnastomoses
    Middle pharyngeal arteryDescending palatine artery (IMA)
    Accessory meningeal artery (IMA)
    Superior pharyngeal arteryForamen lacerumInferolateral trunk to ICA
    Clival branches to meningohypophyseal trunk to ICA
    Pterygovaginal canalPterygovaginal artery to accessory meningeal artery (IMA)
    Foramen lacerumRecurrent artery of the foramen lacerum to ICA
    Inferior tympanic arteryPetrosquamosal branch of middle meningeal artery
    Caroticotympanic artery to ICA
    Stylomastoid artery
    Hypoglossal branchHypoglossal canalVertebral artery
    Jugular branchJugular foramenLateral clival artery to ICA
    Musculospinal branchForamen magnumVertebral artery
    Odontoid arch systemForamen magnumOccipital artery
    • Note.—IMA signifies internal maxillary artery; ICA, internal carotid artery.

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American Journal of Neuroradiology: 23 (7)
American Journal of Neuroradiology
Vol. 23, Issue 7
1 Aug 2002
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Lotfi Hacein-Bey, David L. Daniels, John L. Ulmer, Leighton P. Mark, Michelle M. Smith, James M. Strottmann, Douglas Brown, Glenn A. Meyer, Phillip A. Wackym
The Ascending Pharyngeal Artery: Branches, Anastomoses, and Clinical Significance
American Journal of Neuroradiology Aug 2002, 23 (7) 1246-1256;

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The Ascending Pharyngeal Artery: Branches, Anastomoses, and Clinical Significance
Lotfi Hacein-Bey, David L. Daniels, John L. Ulmer, Leighton P. Mark, Michelle M. Smith, James M. Strottmann, Douglas Brown, Glenn A. Meyer, Phillip A. Wackym
American Journal of Neuroradiology Aug 2002, 23 (7) 1246-1256;
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