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Circle of Willis

Circle of Willis
  • The internal carotid artery system
    • Perfuses the anterior cerebrum.
  • The vertebral-basilar system
    • Perfuses the posterior cerebrum.
    • The basliar artery (which ascends the brainstem) forms from a pair of vertebral arteries that rise to the base of the brain.
Communicating arteries connect these systems.*
internal carotid artery: Major Branches
  • Middle cerebral arteries (MCA)
    • Extend laterally
  • Anterior cerebral arteries (ACA)
    • Extend anteriorly
basilar artery ANATOMY
Major Branches
  • The basilar artery bifurcates at its apex.
It divides into the:
  • Posterior cerebral arteries & the Cerebellar vessels
The Cerebellar vessels (from superior to inferior) are:
    • Superior cerebellar artery (SCA)
    • Anterior inferior cerebellar artery (AICA)
    • Posterior inferior cerebellar artery (PICA)
communicating arteries
  • A posterior communicating artery connects each internal carotid artery and posterior cerebral artery
  • The anterior communicating artery connects the bilateral anterior cerebral arteries.
    • These arterial communications helps to preserve blood flow to susceptible brain areas in the setting of vertebral or carotid arterial occlusion: it connects the bilateral cerebrovascular system.
Internal Carotid: Additional, Key Branches
  • The lenticulostriate branches of the middle cerebral artery.
  • The anterior choroidal branch of the internal carotid artery.
Brainstem perforators
  • Anterior spinal artery forms from vertebral arteries combine, inferiorly.
  • Basilar perforators:
    • Pontine paramedian arteries
    • Short pontine circumferential arteries
    • Long pontine circumferential arteries