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| LETTER TO EDITOR |
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| Year : 2020 | Volume
: 17
| Issue : 1 | Page : 52 |
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The protective anomalous artery
Bindu Menon1, Gayatri Manam2
1 Department of Neurology, Apollo Speciality Hospitals, Nellore, Andhra Pradesh, India
2 Department of Radiology, Apollo Speciality Hospitals, Nellore, Andhra Pradesh, India
| Date of Submission | 25-Dec-2019 |
| Date of Acceptance | 04-Jan-2020 |
| Date of Web Publication | 17-Mar-2020 |
Correspondence Address:
Bindu Menon
Department of Neurology, Apollo Speciality Hospitals, 16/111/1133, Muttukur Road, Pinakini Nagar, Nellore - 524 004, Andhra Pradesh
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/am.am_80_19
How to cite this article:
Menon B, Manam G. The protective anomalous artery. Apollo Med 2020;17:52 |
Sir,
A 40-year-old male hypertensive patient underwent magnetic resonance imaging brain for a history of fall while driving. Axial flair images showed small ischemic foci in bilateral frontoparietal deep white matter and age-related cerebral atrophy [Figure 1]. Angiogram neck showed significant narrowing of the left distal middle cerebral artery (MCA) with paucity of flow in distal branches. An abnormal vessel was seen arising from the temporal branch of the left external carotid artery at C1 level just after bifurcation of the common carotid artery supplying the left MCA territory after coursing along the left cerebral convexity [Figure 2]. Probably, this anomalous artery not described in literature previously prevented a stroke in our patient. | Figure 1: Magnetic resonance imaging brain axial flair showing small ischemic foci in bilateral frontoparietal deep white matter and age-related cerebral atrophy
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 | Figure 2: Abnormal vessel arising from the temporal branch of the left external carotid artery at C1 supplying the left middle cerebral artery territory
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
[Figure 1], [Figure 2]
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