PT - JOURNAL ARTICLE AU - Chen, C J AU - Wang, L J AU - Wong, Y C TI - Abnormal origin of the vertebral artery from the common carotid artery. DP - 1998 Sep 01 TA - American Journal of Neuroradiology PG - 1414--1416 VI - 19 IP - 8 4099 - http://www.ajnr.org/content/19/8/1414.short 4100 - http://www.ajnr.org/content/19/8/1414.full SO - Am. J. Neuroradiol.1998 Sep 01; 19 AB - An abnormal origin of the vertebral artery from the common carotid artery (VA-CC) may occur on the right or left side with different embryonic mechanisms. We describe a patient with a double developmental anomaly, a right VA-CC and a right aortic arch. The rotation of the aortic arch caused a "twist" of the embryonic mechanisms of VA-CC and misdirected the differential diagnosis of the embryonic mechanisms at first glance. We discuss the pivotal points in differentiating the embryonic mechanisms of VA-CC.