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A1 segment hypoplasia
Case contributed by Dr Abdulmajid Bawazeer
Diagnosis certain
Diagnosis certain

Presentation
Acute dizziness: to rule out an acute stroke

Patient Data
Age: 40 years
Gender: Male
From the case: A1 segment hypoplasia
MRI

Axial MRA
From the case: A1 segment hypoplasia
MRI
Axial MRA

volumetric MRA
From the case: A1 segment hypoplasia
MRI
volumetric MRA

volumetric MRA
From the case: A1 segment hypoplasia
MRI
volumetric MRA

MRI
 Scroll Stack Scroll Stack

Axial MRA

Hypoplastic A1 segment of the left anterior cerebral artery.

Both posterior communicating arteries are hypoplastic.

Otherwise, the circle of Willis appears unremarkable.

From the case: A1 segment hypoplasia

Annotated image

MRA
From the case: A1 segment hypoplasia
Annotated image
MRA

Axial MRA
From the case: A1 segment hypoplasia
Annotated image
Axial MRA

MRA
From the case: A1 segment hypoplasia
Annotated image
MRA

Annotated image
 Scroll Stack Scroll Stack

MRA

Hypoplastic A1 segment of the left anterior cerebral artery (yellow arrow).

Both posterior communicating arteries are hypoplastic.
Otherwise, the circle of Willis appears unremarkable.

Case Discussion
Anterior cerebral artery A1 segment hypoplasia is an uncommon fetal variant of the circle of Willis. The
frequency of this congenital variation is 1–13% as derived from angiograms and autopsy reports 1.

References

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Anterior cerebral artery
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Case https://radiopaedia.org/cases/a1-segment-hypoplasia-2?lang=gb

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ENT

Case information
rID: 78473
Published: 9th Jun 2020
Last edited: 12th Jun 2020
System: Vascular
Inclusion in quiz mode: Included
Institution: The Islamic Hospital

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