Turkish Neurosurgery
Vascular Variations Associated with Intracranial Aneurysms
Metin Orakdöğen1, Selin Tural Emon1, Hakan Somay1, Taner Engin1, Merih İş1, Tayfun Hakan2
1Haydarpaşa Numune Teaching and Research Hospital, Neurosurgery, Kadıköy-İstanbul,
2Kolan International Hospital, Neurosurgery, Şişli/İstanbul,
3Okan Univarsity, Vocational School of Health Services, Tuzla,
DOI: 10.5137/1019-5149.JTN.17839-16.1

Aim:Investigation of the vascular variations in patients with intracranial aneurysm in circle of Willis. Material and Methods:We used the data on 128 consecutive intracranial aneurysm cases. Cerebral angiography images were analyzed retrospectively. Arteries grouped as anterior cerebral arterial system (ACS), posterior cerebral arterial system (PCS) and middle cerebral arterial system (MCS) for grouping vascular variations. Lateralization, being single/multiple, gender; and also any connection with accompanying aneurysm’s number, localization, dimension, being bleeding/incidental aneurysm has been inspected.Results:Variations were demonstrated in 57.8 % of the cases. The most common variation was A1 variation (34.4 %). The rate of variations was 36.7 %, 24.2 % and 10.2 % respectively in ACS, PCS and MCS. MCS variations was significantly higher in males. Anterior communicating artery (ACoA) aneurysm observance rates were significantly higher and posterior communicating artery (PCoA) aneurysm and middle cerebral artery (MCA) aneurysm observance rates were significantly lower when compared to ‘no ACS variation detected’ cases. In ‘PCS variation detected’ cases, PCoA aneurysm observance rates and coexistence of multiple variations were significantly higher. Conclusion:The rate of variations with aneurysms was 57.8 %. Arterial hypoplasia and aplasia were the most seen variations. ACS was the most common region that variations were located; they were mostly detected on right-side. Coexistence of ACoA aneurysm was higher than PCoA and MCA aneurysms. In PCS variations group, PCoA aneurysms were the most common aneurysms that accompanying to variation and multiple variations were more than the other two groups. The variations in MCS were most common in males.

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