Posterior communicating aery connects
## **Core Concept**
The posterior communicating artery (PCoA) is a critical anastomotic channel in the circle of Willis, which plays a significant role in cerebral blood circulation. It connects the internal carotid artery with the posterior cerebral artery, contributing to the collateral blood supply between the anterior and posterior cerebral circulation.
## **Why the Correct Answer is Right**
The correct answer indicates that the posterior communicating artery connects the **internal carotid artery** with the **posterior cerebral artery**. This connection is essential for providing a collateral pathway for blood flow between the anterior cerebral circulation (supplied by the internal carotid arteries) and the posterior cerebral circulation (supplied by the vertebral arteries). This anastomosis helps in maintaining cerebral blood flow in case of occlusion of one of the major arteries supplying the brain.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because it does not accurately describe the connection made by the posterior communicating artery.
- **Option B:** This option is incorrect as it suggests a different connection that is not accurate for the posterior communicating artery.
- **Option D:** This option is incorrect because it does not correctly identify the arteries connected by the posterior communicating artery.
## **Clinical Pearl / High-Yield Fact**
A key clinical point to remember is that an **aneurysm** of the posterior communicating artery is a common cause of **third cranial nerve (oculomotor nerve) palsy**. The close proximity of the PCoA to the oculomotor nerve makes it susceptible to compression by an expanding aneurysm, leading to nerve palsy.
## **Correct Answer:** . Internal carotid artery and posterior cerebral artery.