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This dry bonsai tree belonged to my late grandmother. From this angle, it reminds me of a lateral view of an internal carotid angiogram. The “syphon” is seen bending multiple times on its ascent. An ophthalmic branch leaves the clinoid segment anteriorly, an anterior choroidal branch stems posteriorly, and a distal “T” gives rise to the anterior and middle cerebral branches, with its multiple collaterals. Much like arteries bend around the growth of different organs, tree branches twist and turn due to external elements. Our lives also take interesting turns when we find the right pressures (Figure).
Figure ICA Bonsai

Acknowledgment

Dedicated to my grandmother. I would like to thank João F. Viana for taking the photograph.

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Published In

Neurology®
Volume 102Number 6March 26, 2024
PubMed: 38394620

Publication History

Received: December 6, 2023
Accepted: December 21, 2023
Published online: February 23, 2024
Published in print: March 26, 2024

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Disclosure

The author reports no relevant disclosures. Go to Neurology.org/N for full disclosures.

Study Funding

The author reports no targeted funding.

Authors

Affiliations & Disclosures

From the Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom; and Faculty of Medicine, University of Lisbon, Portugal.
Disclosure
Financial Disclosure:
1.
Served on scientific advisory board - UNEEG Medical
Received funding for travel - UNEEG Medical
Received speaker honoraria - Eisai Pharmaceuticals
Research Support:
1.
Foundation - Epilepsy Foundation of America: My Seizure Gauge Innitiative
Stock, Stock Options & Royalties:
1.
NONE
Legal Proceedings:
1.
NONE

Notes

Correspondence Dr. Viana [email protected]
Go to Neurology.org/N for full disclosures.
Submitted and externally peer reviewed. The handling editor was Editor-in-Chief José Merino, MD, MPhil, FAAN.

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