Robert A Scranton1, Amanda V Jenson2, Rishi Suresh3,4, Gavin Britz4. 1. Neurosurgery, Goodman Campbell Brain and Spine, Indianapolis, USA. 2. Neurosurgery, Houston Methodist Neurological Institute, Houston, USA. 3. Neurological Surgery, Texas A&M College of Medicine, Bryan, USA. 4. Neurological Surgery, Houston Methodist Hospital, Houston, USA.
Abstract
Background and Importance: Intracranial artery fenestrations are very rare, however, when found, there is a high association with cerebral aneurysms. Clinical Presentation: This report describes a patient with multiple anterior and posterior circulation intracranial artery fenestrations and an anterior communicating artery aneurysm presenting with a thunderclap headache found to have a subarachnoid hemorrhage (SAH). The patient was treated with open surgery via clipping after a diagnostic angiography and did very well. Conclusion: There is an association between cerebral fenestrations and aneurysms, but it has not been studied in a prospective manner. This case is unusual in that the patient had both anterior and posterior circulation fenestrations, which is uncommon. Clinicians should have a high index of suspicion in patients being evaluated for SAH who have a cerebral artery fenestration with no aneurysm found.
Background and Importance: Intracranial artery fenestrations are very rare, however, when found, there is a high association with cerebral aneurysms. Clinical Presentation: This report describes a patient with multiple anterior and posterior circulation intracranial artery fenestrations and an anterior communicating artery aneurysm presenting with a thunderclap headache found to have a subarachnoid hemorrhage (SAH). The patient was treated with open surgery via clipping after a diagnostic angiography and did very well. Conclusion: There is an association between cerebral fenestrations and aneurysms, but it has not been studied in a prospective manner. This case is unusual in that the patient had both anterior and posterior circulation fenestrations, which is uncommon. Clinicians should have a high index of suspicion in patients being evaluated for SAH who have a cerebral artery fenestration with no aneurysm found.
Authors: Ahmet Songur; Yucel Gonul; Oguz Aslan Ozen; Hudaverdi Kucuker; Ibrahim Uzun; Orhan Bas; Muhsin Toktas Journal: Surg Radiol Anat Date: 2008-02-06 Impact factor: 1.246
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