Abstract |
Many disorders can cause aneurysm and/or dissection of the cerebral arteries, including fibromuscular dysplasia (FMD), connective tissue disorders, cerebral vasculitis, infection, and vascular malformations. Arterial fenestration is a rare congenital finding that can also cause aneurysms, and can rarely dissect and bleed. Treatment of aneurysm and dissection with subarachnoid hemorrhage can be very complicated, and requires case-by-case analysis of the risks and benefits of antithrombotic therapy. To the authors' knowledge, no case of double fenestration of the basilar artery has been reported. This report presents a case of concurring vertebral artery dissection and double fenestration of the basilar artery with aneurysm. The fenestration and FMD are considered possible main contributing causes of this presentation. A literature review of cerebrovascular fenestration and FMD is provided and the relationship between the 2 is considered. Lastly, the use of antithrombotic therapy in the setting of subarachnoid hemorrhage, dissection, and stent placement is discussed.
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Authors | Madeline M Stark, Nedaa Skeik, Josser E Delgado Almandoz, Benjamin M Crandall, David E Tubman |
Journal | Annals of vascular surgery
(Ann Vasc Surg)
Vol. 27
Issue 4
Pg. 497.e15-21
(May 2013)
ISSN: 1615-5947 [Electronic] Netherlands |
PMID | 23548267
(Publication Type: Case Reports, Journal Article, Review)
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Copyright | Copyright © 2013 Elsevier Inc. All rights reserved. |
Topics |
- Adult
- Basilar Artery
(abnormalities, diagnostic imaging, surgery)
- Cerebral Angiography
- Diagnosis, Differential
- Female
- Humans
- Intracranial Aneurysm
(congenital, diagnostic imaging, surgery)
- Magnetic Resonance Angiography
- Tomography, X-Ray Computed
- Vascular Malformations
(surgery, therapy)
- Vascular Surgical Procedures
(methods)
- Vertebral Artery
(abnormalities, diagnostic imaging, surgery)
- Vertebral Artery Dissection
(congenital, diagnostic imaging, surgery)
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