RT Journal Article SR Electronic T1 Abnormal origin of the vertebral artery from the common carotid artery. JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1414 OP 1416 VO 19 IS 8 A1 Chen, C J A1 Wang, L J A1 Wong, Y C YR 1998 UL http://www.ajnr.org/content/19/8/1414.abstract 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.