Stroke, Vol 15, 846-850, Copyright © 1984 by American Heart Association
KN Kayembe, M Sasahara and F Hazama
In order to obtain information about the relationship between variations in
the circle of Willis and aneurysms, 44 complete circles of Willis with
aneurysm were studied macroscopically. The incidence of variations was
significantly higher in the aneurysm series than in the control circles
without aneurysm. There was a definite correlation between asymmetric
proximal segments of the anterior cerebral artery and aneurysms of the
anterior communicating artery, and a tendency to correlation was found in
the case of asymmetric posterior communicating arteries and aneurysms on
the internal carotid artery-posterior communicating artery junction. In the
light of these findings it seems likely that through hemodynamic changes
variation in the circle of Willis plays some role in the development of
cerebral aneurysms.
ARTICLES
Cerebral aneurysms and variations in the circle of Willis
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