Hypoplastic P1 Segment
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Post embolization left vertebral angiogram (left) in a 15 year-old with a thalamic arteriovenous malformation. There is a hypoplastic right P1 segment (arrow) with asymmetric supply of the P1 vessels to the posterior circulation (circles). Right internal carotid injection (right) shows a large posterior communicating artery (open arrow) supplying the remainder of the posterior circulation on the right.