Ascending vermian artery, branch of the V4 segment of the vertebral artery.
A previously undescribed anatomical variant is reported here, that of vermian arteries (vAs) branched from the vertebral arteries (VAs) and replacing the medial branches of the posterior inferior cerebellar arteries (PICAs) that, in turn, were leaving the basilar artery. Both vAs left the VAs in the foramen magnum. The left vA initially looped in front of the spinal root of the accessory nerve (Sp11) and then looped inferiorly on the dorsal side
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