div style=”display:none;”> Vertebrobasilar System Main Text TERMINOLOGY Abbreviations • Vertebrobasilar (VB), vertebral artery (VA), basilar artery (BA) • Superior cerebellar arteries (SCAs), posterior inferior cerebellar artery (PICA), anterior inferior cerebellar artery (AICA) • Internal carotid artery (ICA) • Anterior spinal artery (ASA), posterior spinal artery (PSA) GROSS ANATOMY Overview • 4 VA segments Extraosseous (V1) segment (arch → C6) Foraminal (V2) segment (C6 → C1) Extraspinal (V3) segment (C1 → foramen magnum) Intradural (V4) segment (intracranial) IMAGING ANATOMY Overview • Ectasia, tortuosity, off-midline course, variations in configuration/branching patterns common Anatomy Relationships • VA V1 : Arises from subclavian artery and courses posterosuperiorly to enter C6 transverse foramen V2 – Ascends through C6-C3 transverse foramina – Turns superolaterally through inverted L-shaped transverse foramen of axis (C2) – Courses short distance superiorly through C1 transverse foramen V3 – Exits top of atlas (C1) transverse foramen – Lies on top of C1 ring, curving posteromedially around atlantooccipital joint – As it passes around back of atlantooccipital joint, turns sharply anterosuperiorly to pierce dura at foramen magnum V4 – After VA enters skull through foramen magnum, courses superomedially behind clivus – Unites with contralateral VA at/near pontomedullary junction to form BA • BA Courses superiorly in prepontine cistern (in front of pons, behind clivus) Bifurcates into its terminal branches, posterior cerebral arteries (PCAs), in interpeduncular or suprasellar cistern at/slightly above dorsum sellae Branches • VA V1 – Segmental cervical muscular, spinal branches V2 – Anterior meningeal artery, unnamed muscular/spinal branches V3 – Posterior meningeal artery V4 – ASA, PSA – Perforating branches to medulla – PICA : Arises from distal VA, curves around/over tonsil, gives off perforating medullary, choroid, tonsillar, cerebellar branches • BA Pontine, midbrain perforating branches (numerous) AICA – Lies ventromedial to CNVII and CNVIII – Often loops into internal auditory meatus SCAs – Arise from distal BA and course posterolaterally around midbrain below CNIII, tentorium – Lie above CNV and often contact it PCAs (terminal BA branches) Vascular Territory • VA ASA: Upper cervical spinal cord, inferior medulla PSA: Dorsal spinal cord to conus medullaris Penetrating branches: Olives, inferior cerebellar peduncle, part of medulla PICA: Lateral medulla, choroid plexus of 4th ventricle, tonsil, inferior vermis/cerebellum Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Frontal Pole (Area 10) Intracranial Venous System Overview Retrosplenial Cingulate Cortex (Areas 29, 30) Hypoglossal Nerve (CNXII) Medulla Ventricles and Choroid Plexus Stay updated, free articles. Join our Telegram channel Join Tags: Imaging Anatomy Brain and Spine Mar 13, 2021 | Posted by admin in NUCLEAR MEDICINE | Comments Off on Vertebrobasilar System Full access? Get Clinical Tree
div style=”display:none;”> Vertebrobasilar System Main Text TERMINOLOGY Abbreviations • Vertebrobasilar (VB), vertebral artery (VA), basilar artery (BA) • Superior cerebellar arteries (SCAs), posterior inferior cerebellar artery (PICA), anterior inferior cerebellar artery (AICA) • Internal carotid artery (ICA) • Anterior spinal artery (ASA), posterior spinal artery (PSA) GROSS ANATOMY Overview • 4 VA segments Extraosseous (V1) segment (arch → C6) Foraminal (V2) segment (C6 → C1) Extraspinal (V3) segment (C1 → foramen magnum) Intradural (V4) segment (intracranial) IMAGING ANATOMY Overview • Ectasia, tortuosity, off-midline course, variations in configuration/branching patterns common Anatomy Relationships • VA V1 : Arises from subclavian artery and courses posterosuperiorly to enter C6 transverse foramen V2 – Ascends through C6-C3 transverse foramina – Turns superolaterally through inverted L-shaped transverse foramen of axis (C2) – Courses short distance superiorly through C1 transverse foramen V3 – Exits top of atlas (C1) transverse foramen – Lies on top of C1 ring, curving posteromedially around atlantooccipital joint – As it passes around back of atlantooccipital joint, turns sharply anterosuperiorly to pierce dura at foramen magnum V4 – After VA enters skull through foramen magnum, courses superomedially behind clivus – Unites with contralateral VA at/near pontomedullary junction to form BA • BA Courses superiorly in prepontine cistern (in front of pons, behind clivus) Bifurcates into its terminal branches, posterior cerebral arteries (PCAs), in interpeduncular or suprasellar cistern at/slightly above dorsum sellae Branches • VA V1 – Segmental cervical muscular, spinal branches V2 – Anterior meningeal artery, unnamed muscular/spinal branches V3 – Posterior meningeal artery V4 – ASA, PSA – Perforating branches to medulla – PICA : Arises from distal VA, curves around/over tonsil, gives off perforating medullary, choroid, tonsillar, cerebellar branches • BA Pontine, midbrain perforating branches (numerous) AICA – Lies ventromedial to CNVII and CNVIII – Often loops into internal auditory meatus SCAs – Arise from distal BA and course posterolaterally around midbrain below CNIII, tentorium – Lie above CNV and often contact it PCAs (terminal BA branches) Vascular Territory • VA ASA: Upper cervical spinal cord, inferior medulla PSA: Dorsal spinal cord to conus medullaris Penetrating branches: Olives, inferior cerebellar peduncle, part of medulla PICA: Lateral medulla, choroid plexus of 4th ventricle, tonsil, inferior vermis/cerebellum Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Frontal Pole (Area 10) Intracranial Venous System Overview Retrosplenial Cingulate Cortex (Areas 29, 30) Hypoglossal Nerve (CNXII) Medulla Ventricles and Choroid Plexus Stay updated, free articles. Join our Telegram channel Join