Artery of Adamkiewicz
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
In human anatomy, the Artery of Adamkiewicz, also Adamkiewicz artery, major anterior segmental medullary artery, artery of the lumbar enlargement and great anterior segmental medullary artery, is the largest anterior segmental medullary artery.
It typically arises from a left posterior intercostal artery, which branches from the aorta, and supplies the lower two thirds of the spinal cord via the anterior spinal artery.[1]
Anatomical variation
In a study of approximately 70 people that examined the spinal cord's blood supply it was found that[1]:
- The Adamkiewicz artery sometimes arises from a lumbar vessel.
- In approximately 30% of people it arises from the right side.
- One quarter of people have two large anterior segmental medullary arteries.
Disorders
When damaged or obstructed, it can result in anterior spinal artery syndrome,[2] with loss of urinary and fecal continence and impaired motor function of the legs; sensory function is often preserved to a degree.
References
- ↑ 1.0 1.1 Takase K, Sawamura Y, Igarashi K, Chiba Y, Haga K, Saito H, Takahashi S. Demonstration of the artery of Adamkiewicz at multi- detector row helical CT. Radiology. 2002 Apr;223(1):39-45. PMID 11930046. Full Text.
- ↑ Wan IY, Angelini GD, Bryan AJ, Ryder I, Underwood MJ. Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery. Eur J Cardiothorac Surg. 2001 Feb;19(2):203-13. PMID 11167113.
External links
- Template:WhoNamedIt - Adamkiewicz artery
- Yoshioka K, Niinuma H, Ohira A, Nasu K, Kawakami T, Sasaki M, Kawazoe K. MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics. 2003 Sep-Oct;23(5):1215-25. PMID 12975511 Full Text
- Template:Chorus
Template:Arteries of thorax and abdomen