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Posterior cerebral artery

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.

Posterior cerebral artery

Basilar artery (most common in adults)

arteria cerebri posterior

PCA

Originated at the termination of the basilar artery

May give rise to the artery of Percheron if present

Development[edit]

The prenatal development of the posterior cerebral arteries in the fetus comes relatively late and arises from the fusion of several embryonic vessels near the caudal ends of the posterior communicating arteries supplying the mesencephalon and diencephalon.[2] The PCA begins as such, as a continuation of the PCommA in the fetus with only 10–30% of fetuses having a prominent basilar origin.[3]


The fetal carotid origin of the PCA usually regresses as the vertebral and basilar arteries develop with the PCommA reducing is size. In most adults, the PCA sources from the anterior portion of the basilar artery. Only about 19% of adults retain PCommA dominance of the PCA with 72% having dominant basilar origin, and the rest having either equal prominence between PCommA and basilar artery, or a single exclusive source.[3]

Contralateral loss of pain and temperature sensations.

Visual field defects (contralateral with macular sparing).[4]

hemianopsia

with bilateral obstruction of the lingual and fusiform gyri.

Prosopagnosia

Superior Alternating Syndrome ()[5]

Weber's syndrome

Ipsilateral deficits of .

oculomotor nerve

Contralateral deficits of (only lower face, upper face receives bilateral input), vagus nerve and hypoglossal nerve.

facial nerve

[6]

Horner's Syndrome

Arteriogram of the arterial supply.

Arteriogram of the arterial supply.

Medial surface of cerebral hemisphere, showing areas supplied by cerebral arteries. Areas supplied by the posterior cerebral artery shown in yellow.

Medial surface of cerebral hemisphere, showing areas supplied by cerebral arteries. Areas supplied by the posterior cerebral artery shown in yellow.

The arteries of the base of the brain. Posterior cerebral artery labeled near center. The temporal pole of the cerebrum and a portion of the cerebellar hemisphere have been removed on the right side. Inferior aspect (viewed from below).

The arteries of the base of the brain. Posterior cerebral artery labeled near center. The temporal pole of the cerebrum and a portion of the cerebellar hemisphere have been removed on the right side. Inferior aspect (viewed from below).

Circle of Willis

Anterior cerebral artery

at eMedicine – Posterior cerebral artery stroke

neuro/322

at the University of Michigan Health System

Atlas image: n3a8p1

at the SUNY Downstate Medical Center

Anatomy photo:28:09-0206

. Roche Lexicon - illustrated navigator. Elsevier. Archived from the original on 2014-11-07.

"Anatomy diagram: 13048.000-1"

Overview

Diagram

Blood supply