KHOSRAVI G, FAKHR TABATABAI S A, GHAFARPOUR M, TOUFIGHI H. VARIATIONS IN THE CIRCULUS ARTERIOSUS OF WILLIS: AUTOPSY FINDINDS IN 101 HUMAN CADAV ERS. Med J Islam Repub Iran 2001; 15 (1) :1-5
URL:
http://mjiri.iums.ac.ir/article-1-816-en.html
From the Depts. Of Neurosurgery, Neurology Tehran University of Medical Sciences, Tehran, I.R. Iran.
Abstract: (5102 Views)
In order to evaluate the microvascular anatomy and the interconnections,
101 fixed brains from human cadavers with a mean age of 41.3 years
were subjected to objective scrutiny. Symmetry was visualized with an
unaided eye and measurements made under microscopic magnification technique
using a micrometer.
Classic symmetry was observed in only 19 of the specimens, whereas the
rest of the 82 specimens revealed considerable variations in the form of diverse
anomalies. These anomalies consisted of hypoplasia (45 cases), duplication (40
cases), triplication (6 cases), fenestration (6 cases), aplasia (5 cases), aneurysm (2
cases), common trunk (1 case) and a rare presentation where the internal carotid
artery was found to have anastomosis with the posterior cerebral artery.
The frequency of anatomic variations and the presence of prevalent anomalies
at the circle of Willis underscore the difficulty in understanding various cerebral
vascular diseases and their anatomical knowledge and information serve to
adopt effective strategies in tackling such microvascular diseases.