Iranian Journal of Radiology

Published by: Kowsar

A Case of Duplicated Origin of the Left Vertebral Artery: CTA and MRA Findings and Literature Review

Seung Eun Lee 1 and Young-Seon Kim 1 , *
Authors Information
1 Department of Radiology, College of Medicine, Yeungnam University, Daegu, Korea
Article information
  • Iranian Journal of Radiology: January 2018, 15 (1); e63469
  • Published Online: October 31, 2017
  • Article Type: Case Report
  • Received: November 29, 2016
  • Accepted: April 24, 2017
  • DOI: 10.5812/iranjradiol.63469

To Cite: Lee S E, Kim Y. A Case of Duplicated Origin of the Left Vertebral Artery: CTA and MRA Findings and Literature Review, Iran J Radiol. 2018 ; 15(1):e63469. doi: 10.5812/iranjradiol.63469.

Copyright © 2017, Iranian Journal of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Li S, Li Y, Bai M, Zhang C. Three-Dimensional Time-of-Flight Magnetic Resonance Angiography Detection of Duplication of the Vertebral Artery in a Large Chinese Population. Med Sci Monit. 2016;22:3771-7. [PubMed: 27749814].
  • 2. Goddard AJ, Annesley-Williams D, Guthrie JA, Weston M. Duplication of the vertebral artery: report of two cases and review of the literature. Neuroradiology. 2001;43(6):477-80. [PubMed: 11465760].
  • 3. Thomas AJ, Germanwala AV, Vora N, Prevedello DM, Jovin T, Kassam A, et al. Dual origin extracranial vertebral artery: case report and embryology. J Neuroimaging. 2008;18(2):173-6. doi: 10.1111/j.1552-6569.2007.00182.x. [PubMed: 18302642].
  • 4. Komiyama M, Nakajima H, Yamanaka K, Iwai Y. Dual origin of the vertebral artery--case report. Neurol Med Chir (Tokyo). 1999;39(13):932-7. [PubMed: 10658455].
  • 5. Ionete C, Omojola MF. MR angiographic demonstration of bilateral duplication of the extracranial vertebral artery: unusual course and review of the literature. AJNR Am J Neuroradiol. 2006;27(6):1304-6. [PubMed: 16775285].
  • 6. Kendi AT, Brace JR. Vertebral artery duplication and aneurysms: 64-slice multidetector CT findings. Br J Radiol. 2009;82(983):216-8. doi: 10.1259/bjr/26005109. [PubMed: 19890113].
  • 7. Polguj M, Podgorski M, Jedrzejewski K, Topol M, Majos A. Fenestration and duplication of the vertebral artery: the anatomical and clinical points of view. Clin Anat. 2013;26(8):933-43. doi: 10.1002/ca.22231. [PubMed: 23553773].
  • 8. Meila D, Tysiac M, Petersen M, Theisen O, Wetter A, Mangold A, et al. Origin and course of the extracranial vertebral artery: CTA findings and embryologic considerations. Clin Neuroradiol. 2012;22(4):327-33. doi: 10.1007/s00062-012-0171-0. [PubMed: 22941252].
  • 9. Rameshbabu C, Gupta OP, Gupta KK, Qasim M. Bilateral asymmetrical duplicated origin of vertebral arteries: Multidetector row CT angiographic study. Indian J Radiol Imaging. 2014;24(1):61-5. doi: 10.4103/0971-3026.130699. [PubMed: 24851007].
  • 10. Nogueira TE, Chambers AA, Brueggemeyer MT, Miller TJ. Dual origin of the vertebral artery mimicking dissection. AJNR Am J Neuroradiol. 1997;18(2):382-4. [PubMed: 9111680].
  • 11. Satti SR, Cerniglia CA, Koenigsberg RA. Cervical vertebral artery variations: An anatomic study. AJNR Am J Neuroradiol. 2007;28:976-80. [PubMed: 17494682].
  • 12. Harnier S, Harzheim A, Limmroth V, Horz R, Kuhn J. Duplication of the common carotid artery and the ipsilateral vertebral artery with a fenestration of the contralateral common carotid artery. Neurol India. 2008;56:491-3. [PubMed: 19127056].
  • 13. Mordasisni P, Schmidt F, Schroth G, Remonda L. Asymmetrical bilateral duplication of the extracranial vertebral arteries: Report of a unique case. Eur J Radiol Extra. 2008;67:e91-4. [PubMed: 19127056].
  • 14. Kim DW. Concomitant dual origin and fenestration of the left vertebral artery resembling dissection. J Korean Neurosurg Soc. 2009;46:498-500. [PubMed: 20041064].
  • 15. Melki E, Nasser G, Vandendries C, Adams D, Ducreux D, Denier C. Congenital vertebral duplication: A predisposing risk factor for dissection. J Neurol Sci. 2012;314:161-2. [PubMed: 22093143].
  • 16. Shin SW, Park DW, Park CK, Lee YJ, Lee SR. Duplication of the left vertebral artery origin: A case report. J Korean SocRadiol. 2013;68:1-4. [PubMed: 22093143].
  • 17. Baik J, et al. Duplication of the right vertebral artery: MRA findings and review of the literature. SpringerPlus. 2016;5(1):1-4. [PubMed: 22093143].
  • 18. Jung S, et al. Duplicated origin of the left vertebral artery: a case report and embryological review. Neurointervention. 2016;11(1):50-4. [PubMed: 22093143].

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