The medial tentorial artery of Bernasconi-Cassinari: A comprehensive review of its anatomy and neurosurgical importance

R. Shane Tubbs, Ha Son Nguyen, Mohammadali Mohajel Shoja, Brion Benninger, Marios Loukas, Aaron A. Cohen-Gadol

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Purpose: The medial tentorial artery (MTA) of Bernasconi-Cassinari has been associated with many neurosurgical pathologies, including tentorial and petroclival meningiomas, dural arteriovenous fistulae, hemangioblastomas, moyamoya disease, arteriovenous malformations, trigeminal neuromas, and malignant gliomas. This vessel may function as a source of collateral blood supply for the posterior circulation. Our goal was to elucidate the MTA by compiling information about it in one concise article for clinicians and neurosurgeons who need to know about the anatomy and clinical significance of this artery. Methods: We reviewed the medical literature for information dealing with the anatomy, pathology, and surgery of the MTA and its clinical implications. Results: Based on the literature, the MTA commonly arises from the cavernous segment of the internal carotid artery and at times, may provide important collateral blood flow to the posterior circulation. This vessel is roughly 2 cm long and has a wavy appearance on angiography. It is usually a single trunk and often supplies the oculomotor, trochlear, and abducens nerves. The MTA may be seen on normal angiography and may be involved in the blood supply of petroclival and tentorial meningiomas. Conclusions: A thorough knowledge of its anatomy and variations is important to clinicians interpreting imaging and neurosurgeons operating in this region. Detailed knowledge of this vessel may shed light on therapeutic options regarding its associated pathologies.

Original languageEnglish (US)
Pages (from-to)2485-2490
Number of pages6
JournalActa Neurochirurgica
Volume153
Issue number12
DOIs
StatePublished - Dec 1 2011
Externally publishedYes

Fingerprint

Anatomy
Arteries
Meningioma
Pathology
Angiography
Trochlear Nerve
Abducens Nerve
Hemangioblastoma
Oculomotor Nerve
Central Nervous System Vascular Malformations
Moyamoya Disease
Neuroma
Arteriovenous Malformations
Internal Carotid Artery
Glioma
Neurosurgeons
Therapeutics

Keywords

  • Anatomy
  • Artery of Bernasconi-Cassinari
  • Marginal tentorial artery
  • Medial tentorial artery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Tubbs, R. S., Nguyen, H. S., Mohajel Shoja, M., Benninger, B., Loukas, M., & Cohen-Gadol, A. A. (2011). The medial tentorial artery of Bernasconi-Cassinari: A comprehensive review of its anatomy and neurosurgical importance. Acta Neurochirurgica, 153(12), 2485-2490. https://doi.org/10.1007/s00701-011-1195-y

The medial tentorial artery of Bernasconi-Cassinari : A comprehensive review of its anatomy and neurosurgical importance. / Tubbs, R. Shane; Nguyen, Ha Son; Mohajel Shoja, Mohammadali; Benninger, Brion; Loukas, Marios; Cohen-Gadol, Aaron A.

In: Acta Neurochirurgica, Vol. 153, No. 12, 01.12.2011, p. 2485-2490.

Research output: Contribution to journalReview article

Tubbs, RS, Nguyen, HS, Mohajel Shoja, M, Benninger, B, Loukas, M & Cohen-Gadol, AA 2011, 'The medial tentorial artery of Bernasconi-Cassinari: A comprehensive review of its anatomy and neurosurgical importance', Acta Neurochirurgica, vol. 153, no. 12, pp. 2485-2490. https://doi.org/10.1007/s00701-011-1195-y
Tubbs, R. Shane ; Nguyen, Ha Son ; Mohajel Shoja, Mohammadali ; Benninger, Brion ; Loukas, Marios ; Cohen-Gadol, Aaron A. / The medial tentorial artery of Bernasconi-Cassinari : A comprehensive review of its anatomy and neurosurgical importance. In: Acta Neurochirurgica. 2011 ; Vol. 153, No. 12. pp. 2485-2490.
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