Recurrent artery of Heubner

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Recurrent artery of Heubner
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Source anterior cerebral artery
Anatomical terminology

The recurrent artery of Heubner, Heubner's artery or distal medial striate artery [1] is an artery in the head. It is named after the German paediatrician Otto Heubner. It is a branch of the anterior cerebral artery. Its vascular territory is the anteromedial section of the caudate nucleus and the anterioinferior section of the internal capsule, as well as parts of the putamen and septal nuclei.

Contents

Structure

The recurrent artery of Heubner is a branch of the anterior cerebral artery. [2] [3] It has a mean diameter of 0.8 mm, and a mean length of 2.4 cm. [3] It is also known together with the lenticulostriate arteries as a striate artery. The lenticulostriate arteries arise from the middle cerebral artery. [1]

Variation

The recurrent artery of Heubner usually arises from the A1-A2 junction (between 44% and 62% of the time), but may arise from the proximal A2 segment (between 23% and 43%), or more rarely from the A1 segment (maybe up to 14% of the time). [2] [3]

The recurrent artery of Heubner has a very variable diameter and length. [3] It varies in width from 0.2 mm to 1.3 mm. [3] It varies in length between 0.9 cm and 3.8 cm. [3]

Function

The recurrent artery of Heubner supplies the anteromedial section of the caudate nucleus and the anterioinferior section of the internal capsule, as well as parts of the putamen and septal nuclei.

Clinical significance

The recurrent artery of Heubner may become obstructed. This may cause infarction in those subcortical areas and thus hemiparesis. More proximal portions of the artery may cause spastic paraparesis and sensory loss contralateral to the lesioned side. Urinary incontinence and gait apraxia may also occur. Occlusive damage to Heubner's artery may also present with contralateral grip reflex issues, and symptoms of frontal lobe disorder. Contralateral gaze preference with or without transcortical motor aphasia may present in instances where the left hemisphere is affected in this type of occlusion.

History

The recurrent artery of Heubner is named after the German paediatrician Otto Heubner. [2]

Related Research Articles

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The putamen is a round structure located at the base of the forebrain (telencephalon). The putamen and caudate nucleus together form the dorsal striatum. It is also one of the structures that compose the basal nuclei. Through various pathways, the putamen is connected to the substantia nigra, the globus pallidus, the claustrum, and the thalamus, in addition to many regions of the cerebral cortex. A primary function of the putamen is to regulate movements at various stages and influence various types of learning. It employs GABA, acetylcholine, and enkephalin to perform its functions. The putamen also plays a role in degenerative neurological disorders, such as Parkinson's disease.

<span class="mw-page-title-main">Striatum</span> Nucleus in the basal ganglia of the brain

The striatum, or corpus striatum, is a nucleus in the subcortical basal ganglia of the forebrain. The striatum is a critical component of the motor and reward systems; receives glutamatergic and dopaminergic inputs from different sources; and serves as the primary input to the rest of the basal ganglia.

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The caudate nucleus is one of the structures that make up the corpus striatum, which is a component of the basal ganglia in the human brain. While the caudate nucleus has long been associated with motor processes due to its role in Parkinson's disease, it plays important roles in various other nonmotor functions as well, including procedural learning, associative learning and inhibitory control of action, among other functions. The caudate is also one of the brain structures which compose the reward system and functions as part of the cortico–basal ganglia–thalamic loop.

<span class="mw-page-title-main">Internal capsule</span> White matter structure situated in the inferomedial part of each cerebral hemisphere of the brain

The internal capsule is a white matter structure situated in the inferomedial part of each cerebral hemisphere of the brain. It carries information past the basal ganglia, separating the caudate nucleus and the thalamus from the putamen and the globus pallidus. The internal capsule contains both ascending and descending axons, going to and coming from the cerebral cortex. It also separates the caudate nucleus and the putamen in the dorsal striatum, a brain region involved in motor and reward pathways.

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The direct pathway, sometimes known as the direct pathway of movement, is a neural pathway within the central nervous system (CNS) through the basal ganglia which facilitates the initiation and execution of voluntary movement. It works in conjunction with the indirect pathway. Both of these pathways are part of the cortico-basal ganglia-thalamo-cortical loop.

<span class="mw-page-title-main">Indirect pathway</span> Neuronal circuit that suppresses unwanted movements

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The anterior cerebral artery (ACA) is one of a pair of cerebral arteries that supplies oxygenated blood to most midline portions of the frontal lobes and superior medial parietal lobes of the brain. The two anterior cerebral arteries arise from the internal carotid artery and are part of the circle of Willis. The left and right anterior cerebral arteries are connected by the anterior communicating artery.

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<span class="mw-page-title-main">Anterior choroidal artery</span>

The anterior choroidal artery originates from the internal carotid artery. However, it may (rarely) arise from the middle cerebral artery.

<span class="mw-page-title-main">Posterior cerebral artery</span> Artery which supplies blood to the occipital lobe of the brain

The posterior cerebral artery (PCA) is one of a pair of cerebral arteries that supply oxygenated blood to the occipital lobe, part of the back of the human brain. The two arteries originate from the distal end of the basilar artery, where it bifurcates into the left and right posterior cerebral arteries. These anastomose with the middle cerebral arteries and internal carotid arteries via the posterior communicating arteries.

<span class="mw-page-title-main">Anterior communicating artery</span>

In human anatomy, the anterior communicating artery is a blood vessel of the brain that connects the left and right anterior cerebral arteries.

<span class="mw-page-title-main">Anterior inferior cerebellar artery</span> Major blood supply to the cerebellum

The anterior inferior cerebellar artery (AICA) is one of three pairs of arteries that supplies blood to the cerebellum.

The lenticulostriate arteries, anterolateral central arteries, or antero-lateral ganglionic branches are a group of small arteries arising from the initial part M1 of the middle cerebral artery that supply the basal ganglia.

<span class="mw-page-title-main">Middle cerebral artery syndrome</span> Medical condition

Middle cerebral artery syndrome is a condition whereby the blood supply from the middle cerebral artery (MCA) is restricted, leading to a reduction of the function of the portions of the brain supplied by that vessel: the lateral aspects of frontal, temporal and parietal lobes, the corona radiata, globus pallidus, caudate and putamen. The MCA is the most common site for the occurrence of ischemic stroke.

<span class="mw-page-title-main">Spinal cord</span> Long, tubular central nervous system structure in the vertebral column

The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spinal cord, which contains cerebrospinal fluid. The brain and spinal cord together make up the central nervous system (CNS). In humans, the spinal cord begins at the occipital bone, passing through the foramen magnum and then enters the spinal canal at the beginning of the cervical vertebrae. The spinal cord extends down to between the first and second lumbar vertebrae, where it ends. The enclosing bony vertebral column protects the relatively shorter spinal cord. It is around 45 cm (18 in) long in adult men and around 43 cm (17 in) long in adult women. The diameter of the spinal cord ranges from 13 mm in the cervical and lumbar regions to 6.4 mm in the thoracic area.

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References

  1. 1 2 Piccinin, Meghan A.; Lopez, Richard A. (2021). "Anatomy, Head and Neck, Striate Arteries". StatPearls. StatPearls Publishing. PMID   31082104 . Retrieved 15 November 2021.
  2. 1 2 3 Sara Bonasia; Michel Bojanowski; Thomas Robert (27 January 2020). "Embryology and variations of the recurrent artery of Heubner". Neuroradiology. Springer. 62 (4): 427–437. doi:10.1007/s00234-020-02372-5. PMID   31984434. S2CID   210914478.
  3. 1 2 3 4 5 6 Loukas, Marios; Louis, Robert G.; Childs, R. Scott (2006). "Anatomical examination of the recurrent artery of Heubner". Clinical Anatomy . 19 (1): 25–31. doi:10.1002/ca.20229. ISSN   1098-2353. PMID   16287124. S2CID   35415517.