{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T14:03:11Z","timestamp":1765375391203,"version":"3.46.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005187","name":"University of Athens","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005187","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Radiol Anat"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The cerebral arterial circle is susceptible to various developmental anomalies that may persist in adulthood. Notably, the persistent primitive olfactory artery (PPOA) is a rare variation, with a reported prevalence of 0.14%, and it is infrequently paired with other vascular anomalies. This imaging report details a unique instance involving a 65-year-old male patient presenting a rare combination of a left-sided PPOA, a left-sided accessory middle cerebral artery (AMCA), and an early bifurcation of the anterior cerebral artery (ACA). The arterial variations were identified utilizing computed tomography angiography (CTA). The PPOA, characterized by its distinctive hairpin turn and nasal branch, runs parallel to the A2 segments, while the AMCA emerges as an anomalous branch from the ACA. Comprehending such configurations is essential for preoperative planning in anterior skull base surgeries due to the associated risks of aneurysm formation and potential intraoperative complications. This case underscores the significance of recognizing rare vascular anomalies to mitigate surgical risks and enhance patient outcomes.<\/jats:p>","DOI":"10.1007\/s00276-025-03647-3","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T12:23:20Z","timestamp":1746447800000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Concomitance of persistent primitive olfactory artery, accessory middle cerebral, and early bifurcated anterior cerebral arteries"],"prefix":"10.1007","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0122-2436","authenticated-orcid":false,"given":"George","family":"Triantafyllou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5662-8354","authenticated-orcid":false,"given":"Panagiotis","family":"Papadopoulos-Manolarakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-7692","authenticated-orcid":false,"given":"Fabrice","family":"Duparc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8559-8969","authenticated-orcid":false,"given":"George","family":"Tsakotos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4831-8005","authenticated-orcid":false,"given":"Maria","family":"Piagkou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"3647_CR1","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1007\/s00276-025-03594-z","volume":"47","author":"H Endo","year":"2025","unstructured":"Endo H, Ono H, Ishida Y, Nakamura H (2025) Persistent primitive olfactory artery associated with accessory middle cerebral artery and partially duplicated anterior communicating artery. Surg Radiol Anat 47:99. https:\/\/doi.org\/10.1007\/s00276-025-03594-z","journal-title":"Surg Radiol Anat"},{"key":"3647_CR2","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1007\/s00276-013-1239-5","volume":"36","author":"MS Kim","year":"2014","unstructured":"Kim MS, Lee GJ (2014) Persistent primitive olfactory artery: CT angiographic diagnosis and literature review for classification and clinical significance. Surg Radiol Anat 36:663\u2013667. https:\/\/doi.org\/10.1007\/s00276-013-1239-5","journal-title":"Surg Radiol Anat"},{"key":"3647_CR3","first-page":"205","volume":"32","author":"DH Padget","year":"1948","unstructured":"Padget DH (1948) Development of cranial arteries in human embryo. 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The research was conducted ethically following The Code of Ethics of the World Medical Association (Declaration of Helsinki).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"138"}}