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Anomalous origin of the occipital artery diagnosed by magnetic resonance angiography

  • Diagnostic Neuroradiology
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Abstract

Introduction

It is well known that the occipital artery (OA) can arise from the internal carotid artery (ICA) or vertebral artery (VA). However, the incidence of an anomalously originating OA has not been reported. We investigate its incidence and characteristic features on magnetic resonance angiography (MRA).

Methods

We retrospectively reviewed MRA images of 2,866 patients that included the carotid bifurcation; images were obtained using a standard noncontrast MRA protocol and two 1.5-T MR units.

Results

We diagnosed six cases (seven arteries) of anomalously originating OA, which represented an incidence of 0.21%. The OA arose from the ICA in four patients (five arteries), from the carotid bifurcation in one, and from the VA in one. Five of the seven arteries occurred on the right.

Conclusion

Anomalously originating OA is rare and occurs with right-side predominance. Correct diagnosis is necessary before or during cerebral angiography, especially when selective catheterization to the OA is required.

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Acknowledgments

We thank Rosalyn Uhrig, M.A., for editorial assistance in the preparation of this manuscript.

Conflict of interest

We declare that we have no conflict of interest.

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Correspondence to Akira Uchino.

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Uchino, A., Saito, N., Mizukoshi, W. et al. Anomalous origin of the occipital artery diagnosed by magnetic resonance angiography. Neuroradiology 53, 853–857 (2011). https://doi.org/10.1007/s00234-010-0825-z

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  • DOI: https://doi.org/10.1007/s00234-010-0825-z

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