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Posterior inferior cerebellar artery

From Wikipedia, the free encyclopedia
Major artery supplying blood to the cerebellum
Blood vessel
Posterior inferior cerebellar artery
The three major arteries of the cerebellum: theSCA,AICA, and PICA (posterior inferior cerebellar artery)
Diagram of the arterial circulation at the base of the brain (inferior view). PICA is labeled at bottom right.
Details
SourceVertebral artery
BranchesMedial branch
lateral
VeinInferior cerebellar veins
SuppliesCerebellum,choroid plexus of thefourth ventricle
Identifiers
Latinarteria inferior posterior cerebelli
TA98A12.2.08.012
TA24542
FMA50518
Anatomical terminology

Theposterior inferior cerebellar artery (PICA) is the largest branch of thevertebral artery. It is one of the three mainarteries that supply blood to thecerebellum, a part of thebrain. Blockage of the posterior inferior cerebellar artery can result in a type ofstroke calledlateral medullary syndrome.

Supply

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The PICA supplies blood to themedulla oblongata; thechoroid plexus andtela choroidea of thefourth ventricle; thetonsils; theinferior vermis, and the inferior parts of thecerebellum.[1]

Course

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It winds backward around the upper part of themedulla oblongata, passing between the origins of thevagus nerve and theaccessory nerve, over theinferior cerebellar peduncle to the undersurface of thecerebellum, where it divides into two branches.

The medial branch continues backward to the notch between the two hemispheres of the cerebellum; while the lateral supplies the under surface of the cerebellum, as far as its lateral border, where itanastomoses with theanterior inferior cerebellar and thesuperior cerebellar branches of thebasilar artery.

Branches from this artery supply thechoroid plexus of thefourth ventricle.

Clinical significance

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A disrupted blood supply to posterior inferior cerebellar artery due to athrombus orembolus can result in astroke and lead tolateral medullary syndrome. Severe occlusion of this artery or to vertebral arteries could lead toHorner's Syndrome as well.

References

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  1. ^Miao, Hui-Lei; Zhang, Deng-Yan; Wang, Tao; Jiao, Xiao-Tian; Jiao, Li-Qun (2020-10-18)."Clinical Importance of the Posterior Inferior Cerebellar Artery: A Review of the Literature".International Journal of Medical Sciences.17 (18):3005–3019.doi:10.7150/ijms.49137.ISSN 1449-1907.PMC 7646108.PMID 33173421.

Sources

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Public domainThis article incorporates text in thepublic domain frompage 580 of the 20th edition ofGray's Anatomy(1918)

External links

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The arteries of the base of the brain. Posterior inferior cerebellar artery labeled at bottom. Thetemporal pole of thecerebrum and a portion of thecerebellar hemisphere have been removed on the right side. Inferior aspect (viewed from below).
CCA
ECA
sup. thyroid
asc. pharyngeal
lingual
facial
occipital
post. auricular
supf. temporal
maxillary
1st part /mandibular
2nd part /pterygoid
3rd part /pterygopalatine
ICA
cervical
petrous
cavernous/
ophthalmic
brain
ScA
vertebral artery
thyrocervical trunk
inferior thyroid
transverse cervical
suprascapular
costocervical trunk
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