Turkish Neurosurgery 2016 , Vol 26 , Num 1
The Anatomy of Circulus Arteriosus Cerebri (Circle of Willis): A Study in Turkish Population
Ayse KARATAS1,2, Hakan YILMAZ3, Gokmen COBAN3, Murat KOKER4, Aysun UZ2
1Izmir Katip Celebi University, Ataturk Education and Research Hospital, Department of Neurosurgery, Izmir, Turkey
2Ankara University, School of Medicine, Department of Anatomy, Ankara, Turkey
3Bozyaka Education and Research Hospital, Department of Neurosurgery, Izmir, Turkey
4Forensic Medicine Institute, Izmir, Turkey
DOI : 10.5137/1019-5149.JTN.13281-14.1 AIM: The function of the circle of Willis, an arterial polygon, is to protect the brain from ischemia. The aim of this study is to define the structural characteristics of the circle of Willis within the Turkish adult population, along with variations and arteries involved in the measurement of diameters and lengths on cadavers.

MATERIAL and METHODS: The circle of Willis was evaluated in 100 fresh adult cadavers. Structures of the circle of Willis were evaluated as being typical or atypical images and according to the diameter of AComP. All arteries forming the circle’s length and diameters were measured.

RESULTS: All arteries forming the circle of Willis as 91% were anatomically observed. The typical structure in which hypoplasia arteries is not involved was obtained as 8%. The atypical circle of Willis with aplasia was seen as 9%. 87% of adult, 9% fetal, and 4% transitional configuration in the samples were detected. The variations of the circle of Willis were more common in the posterior portion. Hypoplasia was found to be the most common variation and noted as a maximum in AComP (85%). Aplasia was noted as the second most common variation after hypoplasia and again the most common in AComP (5%).

CONCLUSION: Advances in radiological methods which provide images of cerebral vessels and the development of cerebrovascular surgery have increased the importance of the circle of Willis in neurosurgery and neurology. The structure of the circle of Willis is of great importance in occlusive cerebrovascular diseases and cerebrovascular surgery. Keywords : Neuroanatomy, Neurovascular, Cerebral arterial circle, Willis polygon, Variation

Corresponding author : Ayse Karatas, aysekaratas@yahoo.com