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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v7i2.4738</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Clinical Analysis of Embryonic Posterior Cerebral Artery</title><url>https://artdesignp.com/journal/JCNR/7/2/10.26689/jcnr.v7i2.4738</url><author>LinMinshi,LiangChaoying,MaKe,YanXunjin,ZhangWeizhi,LiSongliang</author><pub-date pub-type="publication-year"><year>2023</year></pub-date><volume>7</volume><issue>2</issue><history><date date-type="pub"><published-time>2023-03-29</published-time></date></history><abstract>Objective: To understand the clinical characteristics of patients with embryonic posterior cerebral artery and its correlation with abnormal vascular development. Methods: The clinical data of 396 patients with embryonic posterior cerebral artery confirmed by magnetic resonance angiography (MRA) and computed tomography angiography (CTA) were analyzed. Results: Two-hundred patients had clinical manifestations of posterior circulation ischemia, including recurrent dizziness, vertigo, and tinnitus; 45 had headaches, 97 had limb weakness, and 16 patients had syncope or impaired consciousness. Seventy-six patients with circulatory infarction were admitted to the hospital. There were 251 patients with history of hypertension, 74 with diabetes, 113 with hyperlipidemia, 13 with dominant vertebral artery, 10 with intracranial aneurysm, and 19 with absence of A1 segment of the anterior cerebral artery (considering developmental variation). Conclusion: Embryonic posterior cerebral artery develops abnormally during the embryonic period, often accompanied by abnormal vascular access. Due to abnormal hemodynamics, the incidence of posterior circulation ischemia, aneurysm, and infarction increases in such patients.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>He X, Bao G, Zhu Y, 2012, Anatomical Variation of the Circle of Willis and Cerebral Ischemia. International Journal of Cerebrovascular Diseases, 11: 854–857.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B2" content-type="article"><label>2</label><element-citation publication-type="journal"><p>Wang J, Duan D, Wang Q, et al., 2014, Clinical Research on Vertebral Artery Dysplasia in Patients with Wallenberg Syndrome. Journal of Stroke and Neurological Diseases, 1(9): 826–829.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B3" content-type="article"><label>3</label><element-citation publication-type="journal"><p>Capone S, Shah N, George-St Bernard RR, 2019, A Fetal-Type Variant Posteri or Communicating Artery and Its Clinical Significance. Cureus, 11(7): e5064.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B4" content-type="article"><label>4</label><element-citation publication-type="journal"><p>Kulyk C, Voltan C, Simonetto M, et al., 2018, Vertebral Artery Hypoplasia: An Innocent Lamb or a Disguise. J Neurol, 265(10): 2346–2352. https://doi.org/10.1007/s00415-018-9004-7</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B5" content-type="article"><label>5</label><element-citation publication-type="journal"><p>Arjal RK, Zhu T, Zhou Y, 2014, The Study of Fetal-Type Posterior Cerebral Circulation on Multislice CT Angiography and Its Influence on Cerebral Ischemic Strokes. Clin Imaging, 38(3): 221–225. https://doi.org/10.1016/j.clinimag.2014.01.007</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B6" content-type="article"><label>6</label><element-citation publication-type="journal"><p>Nouh A, Remke J, Ruland S, 2014, Ischemic Posterior Circulation Stroke: A Review of Anatomy, Clinical Presentations, Diagnosis, and Current Management. Front Neurol, 5: 30.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B7" content-type="article"><label>7</label><element-citation publication-type="journal"><p>Gurley KL, Edlow JA, 2019, Avoiding Misdiagnosis in Patients with Posterior Circulation Ischemia: A Narrative Review. Acad Emerg Med, 26(11): 1273–1284.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B8" content-type="article"><label>8</label><element-citation publication-type="journal"><p>Koluktsa M, Gürsoy AE, Kocaman G, et al., 2015, Carotid Endarterectomy in a Patient with Posterior Cerebral Artery Infarction: Influence of Fetal Type PCA on Atypical Clinical Course. Case Rep Neurol Med, 2015: 191202. https://doi.org/10.1155/2015/191202</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B9" content-type="article"><label>9</label><element-citation publication-type="journal"><p>Shaban A, Albright KC, Boehme AK, et al., 2013, Circle of Willis Variants: Fetal PCA. Stroke Res Treat, 2013: 105937. https://doi.org/10.1155/2013/105937</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B10" content-type="article"><label>10</label><element-citation publication-type="journal"><p>Ye Y, Zhang W, Chen R, et al., 2007, The Value of 64-Slice Spiral CTA in Displaying Embryonic Posterior Cerebral Artery with Multivascular Segment Variation of the Circle of Willis. Chinese Medical Imaging Technology, 23(12): 1773–1776. https://doi.org/10.3321/j.issn:1003-3289.2007.12.007</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B11" content-type="article"><label>11</label><element-citation publication-type="journal"><p>Li D, Zhao N, Wen J, et al., 2019, The Relationship Between Embryonic Posterior Cerebral Artery and Basilar Artery Morphology and Its Ischemic Events. Journal of Bengbu Medical College, 44: 914–916.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B12" content-type="article"><label>12</label><element-citation publication-type="journal"><p>Avci E, Baskaya MK, 2004, The Surgical Anatomy of the Anomalous Posterior Communicating Artery. Int Congr Ser, 259: 3–10. https://doi.org/10.1016/S0531-5131(03)01408-0</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
