2019
DOI: 10.1177/1591019919886776
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Segmental vulnerability and vascular neurocristopathy of the internal carotid artery

Abstract: I have read the article of ''Dolichoectasia of the internal carotid artery terminus, posterior communicating artery, and posterior cerebral artery: the embryonic caudal ramus internal carotid segmental vulnerability legacy'' by Kobkitsuksakul et al. 1 with great interest. The authors introduced the segmental concept of the cerebral arteries to explain the vascular pathology of dolichoectasia in their clinical cases. I would like to comment on this article.

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Cited by 14 publications
(10 citation statements)
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References 12 publications
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“…However, the distal PCA branches (P2-4) develop from distal annexation between P1 PCA and telencephalic segments of the anterior choroidal artery. [ 13 ] According to Lasjaunias, the distal basilar artery after the primitive trigeminal artery is considered to be the caudal division of ICA, and hence, the embryological boundary between both posterior and anterior circulations is located between the superior cerebellar artery and PCA. A similar observation was seen in our cases 1, 2, and 5, where anterior circulation was observed with relative sparing of the posterior circulation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, the distal PCA branches (P2-4) develop from distal annexation between P1 PCA and telencephalic segments of the anterior choroidal artery. [ 13 ] According to Lasjaunias, the distal basilar artery after the primitive trigeminal artery is considered to be the caudal division of ICA, and hence, the embryological boundary between both posterior and anterior circulations is located between the superior cerebellar artery and PCA. A similar observation was seen in our cases 1, 2, and 5, where anterior circulation was observed with relative sparing of the posterior circulation.…”
Section: Discussionmentioning
confidence: 99%
“…In one of our cases (case 7), we have seen segmental dysgenesis of bilateral ICA where abnormal NC migration resulted in segmental lesions in ICA. [ 13 ]…”
Section: Discussionmentioning
confidence: 99%
“…Internal carotid artery congenital absence is a rare developmental abnormality. Some scholars believe that the congenital absence of ICA is a kind of neurocristopathy syndrome, which also includes neuroblastoma, pheochromocytoma, congenital hypoventilation syndrome, neurofibromatosis type I, DiGeorge syndrome, aortic coarctation, PHACE syndrome, and Moyamoyadisease ( Bolande, 1974 , Komiyama, 2020 ). From the perspective of embryology, the ICA begins to form when the embryo develops to the 3-mm stage.…”
Section: Discussionmentioning
confidence: 99%
“…6 Considering the area of the cephalic NCC distribution, the caudal division of the ICA comprises the PcomA and the entire PCA including P1. 10 As a result, PCA can be categorised in 'embryologically anterior circulation' (Figure 2).…”
Section: Anterior Circulation/posterior Circulationmentioning
confidence: 99%