“…Variations in vertebral artery origin are all considerably rare but have been reported more commonly on the left side [ 4 ]. The most common anomaly overall is a four-vessel arch with a direct origin of the left vertebral artery off the aorta, which occurs in approximately 6% of the population [ 5 ]. Anomalous origins of the right vertebral artery can be divided into three types: aortic origin (0.05% incidence), common carotid/brachiocephalic origin (0.18-0.37%), and dual origin (0.04-0.4%) [ 6 ].…”