BACKGROUND: Fenestration of the ICA is extremely rare, and the most common associated vascular abnormality is cerebral aneurysm. The relationship between fenestration and ischemic stroke is unknown. CASE DESCRIPTION: We present a case of a young adult with SAH resulting from a ruptured aneurysm, associated with the bilateral fenestrated supraclinoid ICAs. This case is unusual because of a history of 2 ischemic strokes and the concomitant finding of other vascular abnormalities. CONCLUSION: Besides associated with aneurysm, ischemic stroke also indicates that fenestration may be a risk factor for thrombus or embolus formation.
BACKGROUND: Fenestration of the ICA is extremely rare, and the most common associated vascular abnormality is cerebral aneurysm. The relationship between fenestration and ischemic stroke is unknown. CASE DESCRIPTION: We present a case of a young adult with SAH resulting from a ruptured aneurysm, associated with the bilateral fenestrated supraclinoid ICAs. This case is unusual because of a history of 2 ischemic strokes and the concomitant finding of other vascular abnormalities. CONCLUSION: Besides associated with aneurysm, ischemic stroke also indicates that fenestration may be a risk factor for thrombus or embolus formation.
Authors: Daniel L Cooke; Charles E Stout; Warren T Kim; Akash P Kansagra; John Paul Yu; Amy Gu; Nicholas P Jewell; Steven W Hetts; Randall T Higashida; Christopher F Dowd; Van V Halbach Journal: Interv Neuroradiol Date: 2014-06-17 Impact factor: 1.610