Download as pdf or txt
Download as pdf or txt
You are on page 1of 52

The artery of the cerebellopontine (CP) angle.

The anterior inferior cerebellar artery (AICA)

Mohammed Bafaqeeh, MD.


NNI
• Name the three nerve-related branches of
the Anterior Inferior Cerebellar Artery.

Right CP angle exposure!


Anatomy Challenge
Anatomy Challenge
1
Anatomy Challenge
1

2
Anatomy Challenge
1

3
Anatomy Challenge
1

4
A a Challe ge
1

5
A a Challe ge
1
A a Challe ge
1

2
Anatomy Challenge
1

3
Anatomy Challenge
1

4
Anatomy Challenge
1

5
The anterior inferior cerebellar artery (AICA)

The pons
The anterior inferior cerebellar artery (AICA)

The pons

The cerebellum

Foramen of Luschka;
lateral recess
Lateral
Lateral ventricle

4th
Foramen Luschka

Tela Choroidea

Foramen Magendie
The anterior inferior cerebellar artery (AICA)

Lateral recess

Foramen Luschka

Tela Choroidea

Foramen Magendie
The anterior inferior cerebellar artery (AICA)

Lateral recess

Cochlear nuclei
Vestibular Nuclei
The anterior inferior cerebellar artery (AICA)
Four segments:

Vertebral
artery
The anterior inferior cerebellar artery (AICA)
Four segments:
• Anterior pontine (a1).
• Basilar trunk to Cranial nerve 6 exit zoon.

CN VI

CN VI
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2).
• Cranial nerve VI exit zoon to CN VII/VIII.

CN CN VI
VII/VIII

CN VI CN
VII/VIII
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2).
• Flocculopeduncular (a3).
• Cranial nerve VII/VIII to CP fissure.
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2).
• Flocculopeduncular (a3).
• Cranial nerve VII/VIII to CP fissure.

MCP

The cerebellopontine fissure.


The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2).
• Flocculopeduncular (a3).

• Typically bifurcate.

Rostral trunk

Caudal trunk
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2).
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three sub-segments

• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three sub-segments
• Pre-meatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three sub-segments
• Pre-meatal.
• Meatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three sub-segments
• Pre-meatal.
• Meatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).

40% found inside the canal.


The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three sub-segments
• Pre-meatal.
• Meatal.
• Postmeatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three sub-segments
• Pre-meatal.
• Meatal.
• Postmeatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three sub-segments
• Pre-meatal.
• Meatal.
• Postmeatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).

Subarcuate loop:
• Second laterally convex curve loop -- give “M configuration.
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three branches
• Pre-meatal.
• Meatal.
• Postmeatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three branches
• Pre-meatal. • Labyrinth artery.
• Meatal.
• Postmeatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three branches
• Pre-meatal. • Labyrinth artery.
• Meatal. • Recurrent perforating arteries.
• Postmeatal.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery

• Recurrent perforating arteries.


The anterior inferior cerebellar artery
Four segments
• Anterior pontine (a1).
• Lateral pontine (a2). Three branches
• Pre-meatal. • Labyrinth artery.
• Meatal. • Recurrent perforating arteries.
• Postmeatal. • Subarcuate artery.
• Flocculopeduncular (a3).
• Cortical segments (a4).
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
The anterior inferior cerebellar artery
• Name the three nerve-related branches of the
Anterior Inferior Cerebellar Artery.

Right CP angle exposure!


The anterior inferior cerebellar artery (AICA)

View publication stats

You might also like