Posterior Cerebral Artery

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Vascular territory

  • Parietooccipital sulcus (medial) and inferior temporal sulcus (lateral)

Anatomical segments

  • P1: PCA from the origin to posterior communicating artery (AKA mesencephalic, precommunicating, circular, peduncular, basilar...). The long and short circumflex and thalamoperforating arteries arise from P1
  • P2: PCA from origin of PComA to the origin of inferior temporal arteries (AKA ambient, post-communicating, perimesencephalic), P2 traverses the ambient cistern, hippocampal, anterior temporal, peduncular perforating, and medial posterior choroidal arteries arise from P2
  • P3: PCA from the origin of the inferior temporal branches to the origin of the terminal branches (AKA quadrigeminal segment). P3 traverses the quadrigeminal cistern
  • P4: segment after the origin of the parieto-occipital and calcarine arteries, includes the cortical branches of the PCA


P1 segment

P1 Segment Feature
Posterior thalamoperforator arteries
  • From the basilar artery and P1, travels through the posterior perforated substance behind the mamillary bodies
  • Supply: thalamus, hypothalamus, subthalamus, and midbrain (cranial nerves III and IV)
Medial posterior choroidal arteries
  • Travels anteromedially along the roof of the third ventricle
  • Supply: midbrain tectum, posterior thalamus, pineal gland, and tela choroidae of the third ventricle
Meningeal branches Supply: tentorium and the falx

P2 segment

P2 Segment Feature
Lateral posterior choroidal artery
  • Main branch of P2, courses over the pulvinar and through the choroidal fissure
  • Supply: posterior portion of the thalamus and choroid plexus (temporal horn and atrium)
Thalamogeniculate arteries Medial geniculate body, lateral geniculate body, pulvinar, superior colliculus, and crus cerebri
Cortical branches
  • Inferior temporal artery group
  • Supply: inferior portion of the temporal lobe

P3 segment

P3 Segment Feature
Posterior temporal artery
  • Posterior temporal lobe, occipitotemporal and lingual gyri
  • Anterior temporal artery branch travels to the inferior temporal lobe to supply the inferior cortex.
  • Anastomoses with middle cerebral artery
Internal occipital artery
Parietooccipital artery
  • Located in the parietooccipital sulcus
  • Supply: posterior ⅓ of the medial hemispheres, cuneus, precuneus, superior occipital gyrus, and precentral and superior parietal lobules
  • Anastomoses with anterior cerebral artery
Calcarine artery
  • Located in the calcarine sulcus
  • Supply: occipital pole and the visual cortex
  • Anastomoses with middle cerebral artery
Posterior pericallosal artery
  • Supply: splenium of the corpus callosum
  • Anastomoses with anterior cerebral artery