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The posterior inferior cerebellar artery (PICA) is the largest branch of the vertebral artery. It is one of the three main arteries that supply blood to the cerebellum , a part of the brain . Blockage of the posterior inferior cerebellar artery can result in a type of stroke called lateral medullary syndrome .
Where VBI is causing reproducible symptoms due to stenosis, lifestyle modification to avoid provoking factors (e.g. dehydration, standing rapidly from sitting or lying) may reduce symptoms. Open surgical repair or stenting can be performed to re-open stenosed vertebral arteries, and intracranial stents have also been successfully used. [9]
Middle cerebral artery (MCA), which supplies blood to the majority of the lateral portion of the brain, including the temporal and lateral-parietal lobes. [ 2 ] [ 3 ] It is the largest of the cerebral arteries and is often affected in strokes [ 4 ]
Each posterior communicating artery is situated within the interpeduncular cistern, superolateral to the pituitary gland. [2]: 450 Each are is situated upon the medial surface of the ipsilateral cerebral peduncle [1]: 477 and adjacent to the anterior perforated substance.
The portion of vertebral arteries located within the skull (intracranial) have diameters of 3.17 mm. The intracranial length for the left vertebral artery (32.4 mm) is longer than the right (31.5 mm). The angle where vertebral arteries meet the basilar artery (vertebrobasilar junction), is 46 degrees. [10]
The leptomeningeal collateral circulation (also known as leptomeningeal anastomoses or pial collaterals) is a network of small blood vessels in the brain that connects branches of the middle, anterior and posterior cerebral arteries (MCA, ACA, and PCA), [1] with variation in its precise anatomy between individuals. [2]
The internal carotid artery is an artery in the neck which supplies the anterior and middle cerebral circulation. [ 1 ] In human anatomy, the internal and external carotid arise from the common carotid artery , where it bifurcates at cervical vertebrae C3 or C4.
Less common symptoms are artery sounds , or ringing in the ears . [6] In asymptomatic individuals with a carotid stenosis, the risk of developing a stroke is increased above those without a stenosis. The risk of stroke is possibly related to the degree of stenosis on imaging.