Authors : Dr. Amit Roy Chowdhury; Dr. Subash Kanti Dey; Dr. Maftahul Jannat; Dr. Md. Habibur Rahman
Volume/Issue : Volume 5 - 2020, Issue 10 - October
Google Scholar : http://bitly.ws/9nMw
Scribd : https://bit.ly/2I5Nyiv
The Circle of Willis serves as an important
potential collateral pathway at the base of the brain. The
size and patency of the components of the Circle of
Willis are known to be variable. The objective of the
study was to explore the configuration of the Circle of
Willis among Bangladeshi population.
Methods: It was a cross-sectional observational study on
42 patients who were undergoing Digital Subtraction
Angiography (DSA) for different reasons. Data
regarding the morphology of Circle of Willis (CoW) was
obtained from DSA. Then the data were compared with
available literature.
Results: A total of 42 patients were enrolled. Among
them, 47.6% (20 patients) had complete CoW and it was
incomplete in the rest of 52.4% (22 patients). Among 22
patients who had Incomplete Circle of Willis, the most
common anomaly was absent Anterior Communicating
Artery (40.90%) followed by absent A1 segment of
Anterior Cerebral Artery (31.82%). Absent Posterior
Communicating Artery and absent P1 segment of PCA
was found in 27.23% and 9.09% respectively. 4.7% (2
patients) had abnormality in more than one vessel.
Conclusion: Circle of Willis was found to be incomplete
in majority of the patients (52.4%) while the commonest
anomaly was absent Anterior Communicating Artery
(40.90%) among the study population.