The occipital artery can rarely originate from the posterior aspect of the proximal internal carotid artery. The normal origin is the external carotid artery. The patient shown below has this anomalous origin bilaterally.
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Case #1aLateral right common carotid angiogram The occipital artery is seen to originate from the posterior aspect of the internal carotid artery. |
Case #1bLateral left common carotid angiogram The anomalous origin is also seen on the left. |
Case #1cOblique left common carotid angiogram An oblique view better demonstrates the left occipital artery origin. |