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Posteromedial central arteries

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Posteromedial central arteries
Details
SourcePosterior cerebral artery,
Posterior communicating artery
Identifiers
Latinaa. centrales posteromediales
TA98A12.2.07.084
TA24566
Anatomical terminology

The posteromedial central arteries or paramedian arteries[1] (also (also posteromedial perforating arteries, or posteromedial ganglionic arteries[2]) are branches of the posterior cerebral artery, and posterior communicating artery. They entering the substance of the brain through the posterior perforated substance. They supply a large portion of the diencephalon as well as some subcortical telencephalic structures.

Anatomy[edit]

Origin[edit]

PMCAs arise from the proximal (pre-communicating (P1)[3]) segment of the posterior cerebral artery,[2][4][3] and along the entire length of[2] the posterior communicating artery[2][5] (though branches arising from the latter may be considered as a distinct anatomical entity[4]).

Course[edit]

They intermingle to form an extensive venous plexus in the interpeduncular fossa[6] before entering the substance of the brain through the posterior perforated substance,[4][6][3] then also passing through the posterior part of the internal capsule along their path.[7]

Distribution[edit]

The PMCAs are distributed to: the globus pallidus, lateral wall of third ventricle,[2][4] parts of the thalamus (partially via the thalamoperforating artery[2]),[2][4][5] subthalamus,[2][4] hypothalamus,[2][3] mammillary bodies,[2][3][5] pituitary gland,[2] optic chiasm and tracts, tuber cinereum,[5] and posterior limb of internal capsule.[3]

The PMCAs supply a substantial part of the diencephalon.[4]

Clinical significance[edit]

Lesions of the PMCAs at the mesencephalic levels often result in Weber's syndrome.[6]

Uncal herniation can cause compression of the paramedian arteries and can result in Duret haemorrhages.[citation needed]

See also[edit]

References[edit]

  1. ^ "Anatonomina". terminologia-anatomica.org. Retrieved 2024-07-02.
  2. ^ a b c d e f g h i j k Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42th ed.). New York: Elsevier. p. 419. ISBN 978-0-7020-7707-4. OCLC 1201341621.
  3. ^ a b c d e f "posteromedial central arteries of posterior cerebral artery - Dictionnaire médical de l'Académie de Médecine". www.academie-medecine.fr. Retrieved 2024-07-02.
  4. ^ a b c d e f g Waschke, Jens; Böckers, Tobias M.; Paulsen, Friedrich; Arnold, Wolfgang; Bechmann, Ingo, eds. (2018). Sobotta Anatomy Textbook: English Edition with Latin Nomenclature (1st ed.). München: Elsevier. p. 622. ISBN 978-0-7020-6760-0.
  5. ^ a b c d "posteromedial central arteries of posterior communicating artery - Dictionnaire médical de l'Académie de Médecine". www.academie-medecine.fr. Retrieved 2024-07-02.
  6. ^ a b c Carpenter, Malcolm B. (1985). Core text of neuroanatomy (3rd ed.). Baltimore: Williams & Wilkins. p. 409. ISBN 0683014552.
  7. ^ Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). ISBN 978-0-7295-3752-0.


Public domain This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)